Brief History of Surgical Treatment for Cervical Cancer

  • Shingo Fujii
  • Kentaro Sekiyama


Cervical cancer that was visible from the vagina enabled the vaginal resection of the lesion in the prolapsed uterus. The amputation of the cervix of the prolapsed uterus for the surgical treatment of cervical cancer started in the early seventeenth century. However, due to the poor outcomes following local excision, clinicians began to postulate that removal of the uterus may be necessary for the treatment of invasive cervical cancer. By the end of the nineteenth century, simple total hysterectomy was developed either transabdominally (Freund 1878 January) and transvaginally (Czerny 1978 August) for the treatment of cervical cancer. Nevertheless, the outcome of these surgical treatments was still very poor. Consequently, wider resection of the paracervical tissues (the uterine supportive tissues), termed the radical approach (extended hysterectomy) was introduced for the treatment of cervical cancer.


Wertheim’s radical hysterectomy Latzko’s radical hysterectomy Okabayashi’s radical hysterectomy Meigs radical hysterectomy Mesometrial resection radical hysterectomy Nerve-sparing radical hysterectomy Super-radical hysterectomy Laterally extended parametrectomy 

Supplementary material

Video 1.1

Original Okabayashi’s Radical Hysterectomy in 1932 (MP4 751458 kb)

Video 1.2

Original film of Mibayashi’s Super-radical Hysterectomy in 1941 with a video of Total Extirpation of the Internal Iliac Blood Vessel System with Cardinal Ligament by Shingo Fujii (MP4 871350 kb)


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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Shingo Fujii
    • 1
  • Kentaro Sekiyama
    • 2
  1. 1.Department of Gynecology and ObstetricsKyoto UniversityKyotoJapan
  2. 2.Department of Obstetrics and GynecologyKitano HospitalKita-kuJapan

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