🎗️ Cervical Cancer Querleu-Morrow Radical Hysterectomy Type
UseCommunicate and standardise the radicality of radical hysterectomy for cervical cancer using the Querleu-Morr…
SourceQuerleu D, Morrow CP. Classification of radical hysterectomy. Lancet Oncol 2008; updated Querleu D,…
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
The classification is defined by how far laterally the parametrium is resected, replacing the older Piver-Rutledge system.
When to use
Communicate and standardise the radicality of radical hysterectomy for cervical cancer using the Querleu-Morrow classification.
How it works
A minimal (medial to ureter); B at ureteric level (B1 / B2 + paracervical nodes); C at internal-iliac junction (C1 nerve-sparing preferred / C2 non-sparing); D laterally extended pelvic-wall resection (LEER).
Key points
- The classification is defined by how far laterally the parametrium is resected, replacing the older Piver-Rutledge system.
- Type C1 (nerve-sparing) is the preferred standard radical procedure; C2 sacrifices autonomic nerves and causes more voiding/rectal dysfunction.
- Voiding and rectal dysfunction broadly increase from type A through C2.
- The 2017 update reinforced C1 as the preferred type-C operation, reserving C2 for when nerves cannot be spared.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Surgical type | B2 — modified radical + paracervical nodes |
|---|
→Q-M typeType B2
- Type：Type B2 (modified radical + paracervical nodes)
- Resection landmark：As B1, plus paracervical (lateral) lymph node dissection
- Nerve handling：As B1
| Surgical type | A — minimal resection |
|---|
→Q-M typeType A
- Type：Type A (minimal resection)
- Resection landmark：Paracervix transected medial to the ureter (between cervix and ureter)
- Nerve handling：Autonomic nerves not involved, bladder branches preserved
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Cervical Cancer Querleu-Morrow Radical Hysterectomy Type?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Cervical Cancer Querleu-Morrow Radical Hysterectomy Type upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Cervical Cancer Querleu-Morrow Radical Hysterectomy Type calculated in practice? Can you show a worked example?
- Inputs: Surgical type B2 — modified radical + paracervical nodes → Result: Q-M type Type B2（Type: Type B2 (modified radical + paracervical nodes), Resection landmark: As B1, plus paracervical (lateral) lymph node dissection, Nerve handling: As B1） Inputs: Surgical type A — minimal resection → Result: Q-M type Type A（Type: Type A (minimal resection), Resection landmark: Paracervix transected medial to the ureter (between cervix and ureter), Nerve handling: Autonomic nerves not involved, bladder branches preserved）