Flowcharts for the management of biliary tract and ampullary carcinomas

Miyakawa, Shuichi; Ishihara, Shoichiro; Takada, Tadahiro; Miyazaki, Masaru; Tsukada, Kazuhiro; Nagino, Masato; Kondo, Satoshi; Furuse, Junji; Saito, Hiroya; Tsuyuguchi, Toshio; Kimura, Fumio; Yoshitomi, Hideyuki; Nozawa, Satoshi; Yoshida, Masahiro; Wada, Keita; Amano, Hodaka; Miura, Fumihiko

doi:10.1007/s00534-007-1275-9

Cited by 21 publications

(9 citation statements)

References 93 publications

(91 reference statements)

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“…The Clinical Practice Guidelines for the Management of Biliary tract and Ampullary Carcinomas [26] was published in 2008. The guideline consists of diagnostic skills [27][28][29] and treatment methods [30][31][32][33][34] and their application. The management of biliary tract cancer based on this guideline can expect improvement of treatment outcome.…”

Section: Discussionmentioning

confidence: 99%

Biliary tract cancer treatment: 5,584 results from the Biliary Tract Cancer Statistics Registry from 1998 to 2004 in Japan

Miyakawa

Ishihara

Horiguchi

et al. 2008

J Hepatobiliary Pancreat Surg

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Background/Purpose The results from the Japanese Biliary Tract Cancer Statistics Registry from 1988 to 1998 were reported in 2002. In the present study, we report here selectively summarized data as an overview of the 2006 follow-up survey of the registered cases from 1998 to 2004 for information bearing on problems with the treatment of cancer of the biliary tract. Methods A total of 5,584 patients were registered from 1998 to 2004. The site of cancer was the bile duct in 2,732 patients, the gallbladder in 2,067, and the papilla of Vater in 785. Those cases were analyzed with regard to patient survival according to the extent of tumor invasion (pT), the extent of lymph node metastasis (pN) and the stage. Results The five-year survival rate after surgical resection was 33.1% for bile duct cancer, 41.6% for gallbladder cancer, and 52.8% for cancer of the papilla of Vater. For hilar or superior bile duct cancer, the 5-year survival rate was lower with an increase in the pT, pN and f stage, except pT3 vs. pT4, pN1 vs. pN2 and stage III vs. stage IVa. For middle or distal bile duct cancer, the 5-year survival rate was lower with increase in pT, pN and f stage, except pT2 vs. pT3, pN2 vs. pN3, stage II vs. stage III and stage III vs. stage IVa. For gallbladder cancer, the 5-year survival rate was lower with increase in pT, pN and f stage. For cancer of the papilla of Vater, the 5-year survival rate was lower with increase in pT, pN and f stage, except pT1 vs. pT2, pN1 vs. pN2, and stage III vs. stage IVa. Conclusions In the present study, the outcomes of surgical treatment were better than that of the previous report from Japan and foreign countries. The pT, pN and stage of gallbladder cancer are well defined. However, there were no significant differences in some groups of those of bile duct cancer and cancer of the papilla of Vater.Keyword Biliary tract cancer Á Statistics registry Á 5-year survival Á Stage of disease Á Lymph node metastasis

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Section: Discussionmentioning

confidence: 99%

Biliary tract cancer treatment: 5,584 results from the Biliary Tract Cancer Statistics Registry from 1998 to 2004 in Japan

Miyakawa

Ishihara

Horiguchi

et al. 2008

J Hepatobiliary Pancreat Surg

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202

165

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“…The Japanese Society of Hepato-Biliary-Pancreatic Surgery (JSHBPS) published the clinical practice guidelines for the management of biliary tract and ampullary carcinomas in 2008 [1][2][3][4][5][6][7][8][9][10]. This was the only clinical guidelines focused on these complicated diseases and contributed to provide general and specialized clinicians with knowledge on standard treatments.…”

Section: Introductionmentioning

confidence: 99%

Clinical practice guidelines for the management of biliary tract cancers 2015: the 2^nd English edition

Miyazaki

Yoshitomi

Miyakawa³

et al. 2015

J Hepato Biliary Pancreat

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Background The Japanese Society of Hepato-Biliary-Pancreatic Surgery launched the clinical practice guidelines for the management of biliary tract and ampullary carcinomas in 2008. Novel treatment modalities and handling of clinical issues have been proposed after the publication. New approaches for editing clinical guidelines, such as the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system, also have been introduced for better and clearer grading of recommendations. Methods Clinical questions (CQs) were proposed in seven topics. Recommendation, grade of recommendation and statement for each CQ were discussed and finalized by evidencebased approach. Recommendation was graded to grade 1 (strong) and 2 (weak) according to the concept of GRADE system. Results The 29 CQs covered seven topics: (1) prophylactic treatment, (2) diagnosis, (3) biliary drainage, (4) surgical treatment, (5) chemotherapy, (6) radiation therapy, and (7) pathology. In 27 CQs, 19 recommendations were rated strong and 11 recommendations weak. Each CQ included the statement of how the recommendation was graded. Conclusions This guideline provides recommendation for important clinical aspects based on evidence. Future collaboration with cancer registry will be a key for assessment of the guidelines and establishment of new evidence. Free full-text articles and a mobile application of this guideline are available via

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“…13,14 In Japan, aggressive resection is performed for cholangiocarcinoma, 2,15 and curative resection can be expected more often if the preoperative diagnostic ability is significantly improved. 13,14 In Japan, aggressive resection is performed for cholangiocarcinoma, 2,15 and curative resection can be expected more often if the preoperative diagnostic ability is significantly improved.…”

Section: Discussionmentioning

confidence: 99%

Potential Role of Peroral Cholangioscopy for Preoperative Diagnosis of Cholangiocarcinoma

Sugiyama

Tsuyuguchi²,

Sakai³

et al. 2012

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Flowcharts for the management of biliary tract and ampullary carcinomas

Cited by 21 publications

References 93 publications

Biliary tract cancer treatment: 5,584 results from the Biliary Tract Cancer Statistics Registry from 1998 to 2004 in Japan

Biliary tract cancer treatment: 5,584 results from the Biliary Tract Cancer Statistics Registry from 1998 to 2004 in Japan

Clinical practice guidelines for the management of biliary tract cancers 2015: the 2^nd English edition

Potential Role of Peroral Cholangioscopy for Preoperative Diagnosis of Cholangiocarcinoma

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Flowcharts for the management of biliary tract and ampullary carcinomas

Cited by 21 publications

References 93 publications

Biliary tract cancer treatment: 5,584 results from the Biliary Tract Cancer Statistics Registry from 1998 to 2004 in Japan

Biliary tract cancer treatment: 5,584 results from the Biliary Tract Cancer Statistics Registry from 1998 to 2004 in Japan

Clinical practice guidelines for the management of biliary tract cancers 2015: the 2nd English edition

Potential Role of Peroral Cholangioscopy for Preoperative Diagnosis of Cholangiocarcinoma

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Clinical practice guidelines for the management of biliary tract cancers 2015: the 2^nd English edition