Surgical manual of the Korean Gynecologic Oncology Group: classification of hysterectomy and lymphadenectomy

Maria Lee, Chel Hun Choi, Yi Kyeong Chun, Yun Hwan Kim, Kwang Beom Lee, Shin Wha Lee, Seung Hyuk Shim, Yong Jung Song, Ju Won Roh, Suk Joon Chang, Jong Min Lee, Maria Lee, Chel Hun Choi, Yi Kyeong Chun, Yun Hwan Kim, Kwang Beom Lee, Shin Wha Lee, Seung Hyuk Shim, Yong Jung Song, Ju Won Roh, Suk Joon Chang, Jong Min Lee

Abstract

The Surgery Treatment Modality Committee of the Korean Gynecologic Oncologic Group (KGOG) has determined to develop a surgical manual to facilitate clinical trials and to improve communication between investigators by standardizing and precisely describing operating procedures. The literature on anatomic terminology, identification of surgical components, and surgical techniques were reviewed and discussed in depth to develop a surgical manual for gynecologic oncology. The surgical procedures provided here represent the minimum requirements for participating in a clinical trial. These procedures should be described in the operation record form, and the pathologic findings obtained from the procedures should be recorded in the pathologic report form. Here, we focused on radical hysterectomy and lymphadenectomy, and we developed a KGOG classification for those conditions.

Keywords: Gynecologic Surgical Procedures; Hysterectomy, Lymph Node Excision; Manuals as Topic.

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Operation record form for cervical cancer. CA-125, cancer antigen 125; CEA, carcinoembryonic antigen; CIN, cervical intraepithelial neoplasia; CIS, cervical carcinoma in situ; FIGO, International Federation of Gynecology and Obstetrics; FFP, fresh frozen plasma; IMA, inferior mesenteric artery; KGOG, Korean Gynecologic Oncology Group; LEEP, loop electrosurgical excision procedure; LLETZ, large loop excision of the transformation zone; LLQ, left lower quadrant; LN, lymph node; LND, lymph node dissection; LNS, lymph node sampling; Lt, left; LUQ, left upper quadrant; Plt conc, platelet concentration; p-RBC, packed-red blood cell; RLQ, right lower quadrant; Rt, right; RUQ, right upper quadrant; SCC-Ag, squamous cell carcinoma antigen; WB, whole blood.
Fig. 2
Fig. 2
Pathologic report form for cervical cancer managed by local excision. AIS, adenocarcinoma in situ; HSIL, high grade squamous intraepithelial lesion; LSIL, low grade squamous intraepithelial lesion.
Fig. 3
Fig. 3
Pathologic report form for cervical cancer managed by trachelectomy, hysterectomy, or pelvic exenteration. AIS, adenocarcinoma in situ; HSIL, high grade squamous intraepithelial lesion; LSIL, low grade squamous intraepithelial lesion.

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