Some questions of diagnosis and treatment in gallbladder carcinoma        QUAN Zhi-wei. Department of General Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
Abstract    Gallbladder carcinoma has been considered the malignancy with dismal prognosis due to its propensity for early dissemination and delayed diagnosis at an advanced tumor stage, and the improved survival could be obtained by the early and precise diagnosis. Surgical radical resection with tumor-free margins provides the only method for long-term survival. Scientific tumor staging system could not only indicate the tumor stage but also do favor for the choice of operation and prediction of prognosis. Unnecessary laparotomy could be avoided by routinely staging laparoscopy. More attention should be paid to the radical resection of incidental gallbladder carcinoma and comprehensive treatment of advanced gallbladder carcinoma. With the development of clinical and basic research of gallbladder carcinoma, comprehensive and standardized treatment, as well as the establishment of professional team on biliary tract carcinoma surgery should also be emphasized.