J.Jpn. Surg. Soc.. 91(9): 1340-1343, 1990

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Report on the annual meeting

JAPANESE GENERAL RULES OF PATHOLOGICAL AND SURGICAL MANAGEMENT FOR CARCINOMA OF THE BILIARY TRACT AND INTERNATIONAL TNM CLASSIFICATION

It has been about ten years since the Japan Society of Biliary Tract Surgery published the General Rules of Surgical Management for Carcinoma of the Biliary Tract. During the past ten years the rules of pathological classification and surgical management have been newly included or revised. In 1895 the TNM committee of UICC took up problems of carcinoma of the biliary tract. At that time the Japan Society made a Japanese proposal of TNM classification to the committee based on about 7000 cases of carcinoma of the biliary tract which were collected at the 12th congress of the Japan Society of Biliary Tract Surgery. And then TNM classification was completed based on American, Italian and Japanese proposals in 1987. That comitee indicated that the Japanese proposal, especially the classification of the lymph nodes, was too detailed. In fact the Japanese rules still have many problems, but the TNM classification seems to have more problems in the management of advanced cancer of the biliary tract compared to the Japanese rules. I think that surgery of the biliary tract should be still discussed under the the Japanese rules at this moment.

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