In 2008, Querleu and Morrow proposed a novel classification of radical hysterectomy, which was quickly accepted by the professional oncogynecological community. The Querleu and Morrow (Q–M) classification of radical hysterectomy has provided a unique opportunity for uniform surgical and anatomical terminology. The classification offers detailed explanations of anatomical landmarks and resection margins for the three parametria of the uterus. However, there are still some disagreements and misconceptions regarding the terminology and anatomical landmarks of the Q–M classification. This article aims to highlight the surgical anatomy of all radical hysterectomy types within the Q–M classification. It discusses and illustrates the importance of anatomical landmarks for defining resection margins of the Q–M classification and reviews the differences between Q–M and other radical hysterectomy classifications. Additionally, we propose an update of the Q–M classification, which includes the implementation of parauterine lymphovascular tissue, paracervical lymph node dissection, and Selective-Systematic Nerve-Sparing type C2 radical hysterectomy. Type D was modified according to current guidelines for the management of patients with cervical cancer. The detailed explanation of the surgical anatomy of radical hysterectomy and the proposed update may help achieve surgical harmonization and precise standardization among oncogynecologists, which can further facilitate accurate and comparable results of multi-institutional surgical clinical trials.
2008年，Querleu和Morrow提出了一种新的根治性子宫切除术分类方法，该方法迅速被妇科肿瘤学界接受。Querleu-Morrow（Q-M）根治性子宫切除术分类法为统一手术及解剖学术语提供了独特契机。该分类系统详细阐释了子宫三个宫旁组织的解剖标志与切除边界。然而，关于Q-M分类的术语和解剖标志仍存在一些分歧与误解。本文旨在重点阐述Q-M分类体系中所有根治性子宫切除术类型的手术解剖结构，探讨并阐明解剖标志对界定Q-M分类切除边界的重要性，同时比较Q-M分类与其他根治性子宫切除术分类的差异。此外，我们提出对Q-M分类的更新建议，包括纳入宫旁淋巴血管组织处理、宫颈旁淋巴结清扫以及选择性-系统性神经保留型C2类根治性子宫切除术。D型术式则根据现行宫颈癌患者管理指南进行了修订。通过对根治性子宫切除术手术解剖的详细阐释及提出的更新建议，或有助于实现妇科肿瘤医师手术操作的规范统一与精准标准化，从而进一步推动多机构外科临床试验获得准确可靠且具有可比性的研究结果。
肿瘤(癌症)患者之家