[Current problems and complications of extensive uterine and pelvic lymph node excision for cancer of the uterus based on a 25-year case load].

The authors studied the complications and other current problems of surgery of 212 cases subjected to Wertheim-Okabayashi operation. Of them 118 were cervix cancer in stage I and 90 in stage II and 4 were cancer of the uterus body in stage II. Two cases of operation death, 1 case of ureter injury and 1 case of large vessel injury occurred. Four ureteral and 1 late rectal-vaginal fistula developed. Difficulty of urination was observed in 49 cases. Those who consider surgical monotherapy best, hold the postoperative percutaneous irradiation necessary only in cases of metastases of the lymph nodes.