Philosophy of Management of Gall Bladder Cancer

The philosophy of management of gall bladder cancer ranges from the Japanese aggressive approach (major supra-radical multi-organ resections for advanced disease) at one end to the western pessimistic nihilism (inappropriate management of even early disease) at the other. An Indian “Buddhist” middle path, i.e., aggressive surgical approach towards early (and incidental) gall bladder cancer and non-surgical palliation for advanced gall bladder cancer has been advocated by the author (VKK).