• 1. Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qinghai University, Xining 810001, P. R. China;
  • 2. Department of Hepatobiliary Interventional Radiology, Beijing Tsinghua Chang Gung Hospital, Beijing 102218, P. R. China;
ZHANG Yuewei, Email: zhangyuewei1121@sina.com
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Objective  To investigate the current research status of neoadjuvant therapy for gallbladder cancer and evaluate the application value of combined therapeutic strategies. Method Relevant domestic and international literature was retrieved, and clinical research data in recent years were systematically reviewed to analyze the efficacy and safety of different therapeutic regimens. Results Neoadjuvant therapy for gallbladder cancer including interventional therapy, interventional therapy combined with targeted therapy/immunotherapy, radiotherapy and chemotherapy, radiotherapy combined with targeted therapy/immunotherapy, chemotherapy combined with targeted therapy/immunotherapy, targeted therapy combined with immunotherapy. Neoadjuvant therapy not only improves the key curative effect such as objective response rate, progression-free survival, and overall survival, but also provides an effective alternative for patients who are intolerant to chemotherapy. However, most existing studies are small-sample retrospective analyses or single-arm trials with selection bias, lacking unified standards and large-sample evidence-based medical support. Conclusions Neoadjuvant therapy (especially combined strategies) can significantly improve the survival benefits of gallbladder cancer patients. Future multicenter and large sample clinical studies are needed to optimize therapeutic strategies, combined with artificial intelligence technology to promote diagnosis and treatment of gallbladder cancer.

Citation: ZHANG Yajun, ZHANG Yuewei. Current research status and prospects of neoadjuvant therapy for gallbladder cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2026, 33(4): 584-590. doi: 10.7507/1007-9424.202509008 Copy

Copyright ? the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved

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