[The value of routine lymphadenectomy in radical Wertheim hysterectomies (author's transl)]

In 1959 Rauscher and Spurny questioned the advantages of routine lymphadenectomy in radical Wertheim operations compared to selective lymphadenectomies. Our present review disagrees with the above mentioned doubts. Rauscher and Spurny base their results on clinical staging of cancer of the cervix in cases from 1947 to 1950, and in cases from 1950 to 1953. Our results are quite different in two groups of patients from the years 1946 to 1949 and 1951 to 1953 with the staging done by histological methods. In the later period of 1965-1969 the results were further improved, probably due to the extent of the lymphadenectomy. The routine lymphadenectomy showed improved results not only in all cases but also in the cases with carcinoma of the lymph nodes.