Invitation

Dear Colleagues

It is my greatest honor to invite you to attend the forthcoming gThe 16th Annual Review Course on Gynecologic Oncology and Pathologyh as gThe International Symposium on Radical Hysterectomy Dedicated to Hidekazu Okabayashi" with ga discussion panel to reach a consensus for the Method of Radical Hysterectomy and Anatomy of Female Pelvis for Radical Hysterectomyh to be held from February 7th to 10th, 2007 in Kyoto, Japan.Ê

As the Founding Member General, I have been organizing the Annual Review Course on Gynecologic Oncology and Pathology since 1990. It is my greatest joy to be able to hold the 16th course together with all of you in 2007 as gThe International Symposium on Radical Hysterectomy Dedicated to Hidekazu Okabayashig
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In 1921, Hidekazu Okabayashi, who was a student of Shouhei Takayama, Professor and Chairman at Kyoto University, published a paper entitled gRadical Abdominal Hysterectomy for Cancer of the Cervix Uteri ? Modification of the Takayama Operation g Surgery, Gynecology and Obstetrics (1921, p335-341). His operation was a new procedure that was more radical than the Wertheim method (1911). Since then, the Okabayashi method has become a standard procedure and has been contributing to save the lives of numerous patients in Japan with invasive cervical cancer. However, the Okabayashi method is not as popular as the Wertheim method in the Western countries. In Japan, the Okabayashi method has been modified elegantly and now the surgery is safe and could promise the preservation of nerve function to achieve better quality of life after radical hysterectomy.
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As successors of the Okabayashi and his Radical Hysterectomy, we, the Department of Gynecology and Obstetrics, Faculty of Medicine, Kyoto University would like to dedicate this meeting to Professor Hidekazu Okabayashi, on the 100th anniversary of his graduation by the Faculty of Medicine at Kyoto University in 1908. As well as dedicating this meeting to Professor Okabayashi, we would like to discuss the status of the Radical Hysterectomy which in the 21st Century is changing drastically: radical vaginal trachelectomy for the preservation of fertility by Daniel Dargent, laparoscopic radical hysterectomy, robotic radical hysterectomy, nerve sparing techniques, and so on.
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In this meeting, we can also learn about the basic concepts of radical hysterectomy from the original classic films in the 19th to 20th century, and modern techniques and concepts of radical hysterectomy through lectures by distinguished invited speakers from all over the world.
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Dr. Querleu and Dr. Morrow suggested that this symposium may be an excellent venue to convene a panel of experts to develop a consensus classification on radical hysterectomy. The only widely used classification, Types I, II and III of Rutledge and Piver, are quite unsatisfactory for current practice. Dr. Querleu suggests holding an expert conference on the classification of radical hysterectomy. This could propose a new, simple, versatile and surgically relevant classification with eponyms such as Wertheim, Schauta, or Okabayashi for terms gproximalh and gdistalh, gwithh or gwithouth nerve sparing dissection, and completed by glaparoscopich, gabdominalh or gvaginalh or glaparoscopic-vaginalh.
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Moreover, anatomical terminology on radical hysterectomy is confusing. Through an expert conference on pelvic anatomy, it would be a great pleasure if we could develop a consensus anatomical terminology on radical hysterectomy.Ê
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The goal for the surgeons to achieve is not different at any period of time: gA perfect surgery for every patienth. To achieve this goal, the most important thing is to know the precise anatomy necessary for the surgery with appropriate surgical skills and a strong mind to accomplish the perfect surgery. I am convinced that these four days of the meeting will be a great learning opportunity for all of us.Ê I hope that many of you will join us and share with us the joy of learning and achievement on Radical Hysterectomy.
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Kyoto, with many historical sites such as temples and shrines, where you will surely find the long-cherished tradition still remaining intact, is waiting for you.
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We hope gThe 16th Anniversary of Annual Review Course on Gynecologic Oncology and Pathologyh as gThe International Symposium on Radical Hysterectomy Dedicated to Hidekazu Okabayashi" to be held February 7-10, 2007 in Kyoto, Japan will be a memorable experience for all of you, where you will be able to further friendships and strengthen scientific collaboration.
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Sincerely yours,



Shingo Fujii, MD
Founding Member General: Annual Review Course on Gynecologic Oncology and Pathology
Chief-Organizer: gThe International Symposium on Radical Hysterectomy Dedicated to Hidekazu Okabayashi"
Professor and Chairman, Department of Gynecology and Obstetrics,@Kyoto University Graduate School of Medicine
Kyoto, Japan






Dear Colleagues

I wish to join with Professor Shingo Fujii in welcoming you to this international conference on radical hysterectomy in the historic site of Kyoto University where Professor Okabayashi developed his famous operation. In this beautiful city experts from around the world will convene to discuss the current status and recent developments in radical hysterectomy, topics of importance to all surgeons who devote their professional career to the care of women with gynecologic cancer.

Our goal is to discuss, consolidate, promote, and disseminate the innovations and variations of radical hysterectomy that have evolved in recent years enhancing its curative effects and diminishing its undesired consequences. We hope that you will find this conference a collegial forum for the exchange of ideas and information. We also hope that you will enjoy the hospitality and the social program offered by Professor Fujii and his staff.
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C. Paul Morrow, MD
University of Southern CaliforniaAKeck School of MedicineALos Angeles, California
Co-Organizer of the Symposium