# Hysterectomy

Source: https://onco.cc/terms/hysterectomy/  
OnCo record `hysterectomy` (Term). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)"; commercial use needs a licence.

## TL;DR

Removing the uterus (womb), often with the cervix, tubes and ovaries. Simple hysterectomy is the standard curative operation for endometrial cancer, and radical hysterectomy, which also removes tissue beside the cervix and the upper vagina, treats early cervical cancer; the LACC trial showed open surgery beats laparoscopic for cervical cancer.

## Summary

Simple hysterectomy with bilateral salpingo-oophorectomy and sentinel node mapping is the standard for endometrial cancer, where minimally invasive surgery is safe (LAP2, LACE). For cervical cancer, radical hysterectomy removes parametrial tissue and upper vagina; the LACC trial (2018) showed open surgery gave better survival than laparoscopic, reversing practice, while SHAPE showed simple hysterectomy suffices for small low-risk tumours. Fertility-sparing trachelectomy is an option for young women with small cervical tumours.

## Fields

- Kind: Term
- Last checked: 2026-09-09
- Also known as: radical hysterectomy; total hysterectomy; hysterectomies; minimally invasive hysterectomy

## Sources

- Wikipedia: https://en.wikipedia.org/wiki/Hysterectomy
- Wikipedia: https://en.wikipedia.org/wiki/Hysterectomy

## Connected records

- terms: [Minimally invasive surgery (laparoscopic, robotic, VATS)](https://onco.cc/terms/minimally-invasive-surgery/), [Salpingo-oophorectomy](https://onco.cc/terms/salpingo-oophorectomy/), [Sentinel node biopsy](https://onco.cc/terms/sentinel-lymph-node-biopsy/)
- cancers: [Cervical cancer](https://onco.cc/cancers/cervical/), [Early cervical cancer and fertility-sparing surgery](https://onco.cc/cancers/early-cervical-cancer/), [Endometrial cancer](https://onco.cc/cancers/endometrial/), [Endometrial cancer with no specific molecular profile](https://onco.cc/cancers/endometrial-nsmp/), [Mismatch-repair-deficient endometrial cancer](https://onco.cc/cancers/endometrial-mmr-deficient/), [p53-abnormal endometrial cancer, including uterine serous carcinoma](https://onco.cc/cancers/endometrial-p53-abnormal/), [POLE-ultramutated endometrial cancer](https://onco.cc/cancers/endometrial-pole-ultramutated/), [Uterine carcinosarcoma](https://onco.cc/cancers/uterine-carcinosarcoma/), [Uterine sarcoma](https://onco.cc/cancers/uterine-sarcoma/)
- fronts: [Surgery & Interventional](https://onco.cc/fronts/surgery/)

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