to study role of chemotherapy treatment for gall bladder cancer before surgery as compared to surgery directly
ECOG 0-2
Locally advanced resectable GBC defined as Clinical T3/4 disease or Regional LN involvement on imaging studies.
Post cholecystectomy GBC with residual disease on imaging, History of bile spillage during primary surgery , history of piece-meal removal of gall bladder during simple cholecystectomy, Regional LN involvement on imaging studies.
Early GBC ( cT1/T2) without significant lymphadenopathy or liver infiltration on radiological imaging .
Locally advanced disease requiring major hepatectomy or whipple's pancreatoduodenectomy.
Post cholecystectomy GBC without any evidence of spillage of residual disease on radiological imaging.
Obstructive jaundice due to involvement of biliary tree by tumour.