{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T02:10:39Z","timestamp":1784859039923,"version":"3.55.0"},"reference-count":4,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005743","name":"Universit\u00e0 Cattolica del Sacro Cuore","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005743","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ann Surg Oncol"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n \n The recently published SHAPE trial\n 1<\/jats:sup>\n may limit the exposure of trainees to modified radical hysterectomy, Querleu-Morrow type B\n 2<\/jats:sup>\n . It is therefore timely to reestablish a simple description of the technique with an educational video.\n <\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n The steps of the Type B1 (modified radical hysterectomy) (Fig. 1) are as follows: step 1: preparation of lateral, ventral, and dorsal spaces (three steps); step 2: management of the uterine artery and of the parauterine lymphovascular tissue; step 3: unroofing of the ureter, division of the vesicouterine ligaments, and mobilization of the bladder base; step 4: division of the rectovaginal ligaments; and step 5: division of the paracervix at the ureter.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The B2 variant, characterized by adding a lateral paracervical lymph node dissection, and the recently described parauterine lymphovascular tissue (PULT)\n 3,4<\/jats:sup>\n resection, will be also featured. Here are the steps for additional paracervical lymphadenectomy: step 1: separation from the obturator nerve; step 2: separation from the paravesical tissue; step 3: removing the ventral component of the paracervix (lateral \u201cparametrium\u201d); step 4: removing the dorsal component of the paracervix (internal iliac nodes); and step 5: removing the lateral component of the paracervix (presciatic nodes).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n In this video, we analyzed the surgical technique for type B radical hysterectomy, focusing on dissection of the uterus and lymph nodes, including the PULT. This highlights the importance of maintaining standardization of the procedure throughout the generations of gynecologic oncologists.<\/jats:p>\n <\/jats:sec>","DOI":"10.1245\/s10434-026-20113-5","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:10:39Z","timestamp":1784578239000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Radical Hysterectomy: A Focus on Querleu\u2013Morrow Type B"],"prefix":"10.1245","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1727-904X","authenticated-orcid":false,"given":"Nicol\u00f2","family":"Bizzarri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Guidi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Ammar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Rosati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Pedone Anchora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Fanfani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Fagotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Scambia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Querleu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"issue":"9","key":"20113_CR1","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1056\/NEJMoa2308900","volume":"390","author":"M Plante","year":"2024","unstructured":"Plante M, Kwon JS, Ferguson S, et al. Simple versus radical hysterectomy in women with low-risk cervical cancer. N Engl J Med. 2024;390(9):819\u201329. https:\/\/doi.org\/10.1056\/NEJMoa2308900.","journal-title":"N Engl J Med"},{"issue":"11","key":"20113_CR2","doi-asserted-by":"publisher","first-page":"3406","DOI":"10.1245\/s10434-017-6031-z","volume":"24","author":"D Querleu","year":"2017","unstructured":"Querleu D, Cibula D, Abu-Rustum NR. 2017 Update on the Querleu-Morrow classification of radical hysterectomy. Ann Surg Oncol. 2017;24(11):3406\u201312. https:\/\/doi.org\/10.1245\/s10434-017-6031-z.","journal-title":"Ann Surg Oncol"},{"key":"20113_CR3","doi-asserted-by":"publisher","DOI":"10.1016\/j.gore.2021.100891","volume":"38","author":"D Querleu","year":"2021","unstructured":"Querleu D, Fanfani F, Fagotti A, Bizzarri N, Scambia G. What is paracervical lymphadenectomy? Gynecol Oncol Rep. 2021;38:100891. https:\/\/doi.org\/10.1016\/j.gore.2021.100891.","journal-title":"Gynecol Oncol Rep"},{"key":"20113_CR4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgc.2025.101744","author":"N Bizzarri","year":"2025","unstructured":"Bizzarri N, Guidi G, Pavone M, et al. Laparoscopic para-uterine lymphovascular tissue sentinel lymph node biopsy with indocyanine green in cervical cancer. Int J Gynecol Cancer. 2025. https:\/\/doi.org\/10.1016\/j.ijgc.2025.101744.","journal-title":"Int J Gynecol Cancer"}],"container-title":["Annals of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-026-20113-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1245\/s10434-026-20113-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-026-20113-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:10:40Z","timestamp":1784578240000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1245\/s10434-026-20113-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,20]]},"references-count":4,"alternative-id":["20113"],"URL":"https:\/\/doi.org\/10.1245\/s10434-026-20113-5","relation":{},"ISSN":["1068-9265","1534-4681"],"issn-type":[{"value":"1068-9265","type":"print"},{"value":"1534-4681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,20]]},"assertion":[{"value":"27 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Authors report no conflict of interest.","order":1,"name":"Ethics","label":"Disclosure","group":{"name":"EthicsHeading","label":"Ethics"}}]}}