Clinical practice guidelines for the management of biliary tract cancers 2019: The 3rd English edition

被引：154

作者：

Nagino, Masato ^{[1
]}

Hirano, Satoshi ^{[2
]}

Yoshitomi, Hideyuki ^{[3
]}

Aoki, Taku ^{[4
]}

Uesaka, Katsuhiko ^{[5
]}

Unno, Michiaki ^{[6
]}

Ebata, Tomoki ^{[7
]}

Konishi, Masaru ^{[8
]}

Sano, Keiji ^{[9
]}

Shimada, Kazuaki ^{[10
]}

Shimizu, Hiroaki ^{[11
]}

Higuchi, Ryota ^{[12
]}

Wakai, Toshifumi ^{[13
]}

Isayama, Hiroyuki ^{[14
]}

Okusaka, Takuji ^{[15
]}

Tsuyuguchi, Toshio ^{[16
]}

Hirooka, Yoshiki ^{[17
]}

Furuse, Junji ^{[18
]}

Maguchi, Hiroyuki ^{[19
]}

Suzuki, Kojiro ^{[20
]}

Yamazaki, Hideya ^{[21
]}

Kijima, Hiroshi ^{[22
]}

Yanagisawa, Akio ^{[23
]}

Yoshida, Masahiro ^{[24
]}

Yokoyama, Yukihiro ^{[7
]}

Mizuno, Takashi ^{[7
]}

Endo, Itaru ^{[25
]}

机构：

[1] Aichi Canc Ctr, Nagoya, Aichi, Japan

[2] Hokkaido Univ, Dept Gastroenterol Surg 2, Fac Med, Sapporo, Hokkaido, Japan

[3] Dokkyo Med Univ, Saitama Med Ctr, Dept Surg, Koshigaya, Japan

[4] Dokkyo Med Univ, Dept Surg 2, Mibu, Tochigi, Japan

[5] Shizuoka Canc Ctr, Div Hepatobiliary Pancreat Surg, Nagaizumi, Shizuoka, Japan

[6] Tohoku Univ, Dept Surg, Grad Sch Med, Sendai, Miyagi, Japan

[7] Nagoya Univ, Dept Surg, Grad Sch Med, Nagoya, Aichi, Japan

[8] Natl Canc Ctr Hosp East, Dept Hepatobiliary Pancreat Surg, Kashiwa, Chiba, Japan

[9] Teikyo Univ, Dept Surg, Sch Med, Tokyo, Japan

[10] Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Tokyo, Japan

[11] Teikyo Univ, Dept Surg, Chiba Med Ctr, Ichihara, Chiba, Japan

[12] Tokyo Womens Med Univ, Inst Gastroenterol, Dept Surg, Tokyo, Japan

[13] Niigata Univ, Div Digest & Gen Surg, Grad Sch Med & Dent Sci, Niigata, Japan

[14] Juntendo Univ, Grad Sch Med, Dept Gastroenterol, Tokyo, Japan

[15] Natl Canc Ctr, Dept Hepatobiliary & Pancreat Oncol, Tokyo, Japan

[16] Chiba Prefectural Sawara Hosp, Dept Gastroenterol, Sawara, Japan

[17] Fujita Hlth Univ, Dept Gastroenterol & Gastroenterol Oncol, Toyoake, Aichi, Japan

[18] Kyorin Univ, Dept Med Oncol, Fac Med, Mitaka, Tokyo, Japan

[19] Teine Keijinkai Hosp, Educ & Res Ctr, Sapporo, Hokkaido, Japan

[20] Aichi Med Univ, Dept Radiol, Nagakute, Aichi, Japan

[21] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Radiol, Kyoto, Japan

[22] Hirosaki Univ, Dept Pathol & Biosci, Grad Sch Med, Hirosaki, Aomori, Japan

[23] Japanese Red Cross Kyoto Diichi Hosp, Dept Pathol, Kyoto, Japan

[24] Int Univ Hlth & Welf, Dept Hepatobiliary Pancreat & Gastrointestinal Su, Ichikawa, Japan

[25] Yokohama City Univ, Grad Sch Med, Dept Gastroenterol Surg, Yokohama, Kanagawa, Japan

来源：

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES | 2021年 / 28卷 / 01期

关键词：

biliary tract cancer; clinical practice; guideline; EXTRAHEPATIC BILE-DUCT; EXPANDABLE METAL STENTS; PORTAL-VEIN EMBOLIZATION; FINE-NEEDLE-ASPIRATION; POSTOPERATIVE INFECTIOUS COMPLICATIONS; INCIDENTAL GALLBLADDER CARCINOMA; ENDOSCOPIC SNARE PAPILLECTOMY; COLORECTAL LIVER METASTASES; COMBINED VASCULAR RESECTION; BOARD CERTIFICATION SYSTEM;

D O I：

10.1002/jhbp.870

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background The Japanese Society of Hepato-Biliary-Pancreatic Surgery launched the clinical practice guidelines for the management of biliary tract cancers (cholangiocarcinoma, gallbladder cancer, and ampullary cancer) in 2007, then published the 2nd version in 2014. Methods In this 3rd version, clinical questions (CQs) were proposed on six topics. The recommendation, grade for recommendation, and statement for each CQ were discussed and finalized by an evidence-based approach. Recommendations were graded as Grade 1 (strong) or Grade 2 (weak) according to the concepts of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Results The 31 CQs covered the six topics: (a) prophylactic treatment, (b) diagnosis, (c) biliary drainage, (d) surgical treatment, (e) chemotherapy, and (f) radiation therapy. In the 31 CQs, 14 recommendations were rated strong and 14 recommendations weak. The remaining three CQs had no recommendation. Each CQ includes a statement of how the recommendations were graded. Conclusions This latest guideline provides recommendations for important clinical aspects based on evidence. Future collaboration with the cancer registry will be key for assessing the guidelines and establishing new evidence.

引用

页码：26 / 54

页数：29

共 280 条

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