Surgery :If the tumor is resectable, surgery is usually the main type of treatment for gallbladder cancer.

• Surgical Biliary Bypass : If the tumor is blocking the bile duct and bile is building up in the liver, a biliary bypass may be done. During this operation, the gallbladder or bile duct will be cut and sewn to the small intestine to create a new pathway around the blocked area.

• Endoscopic Stent Placement : If the tumor is blocking the bile duct, nonsurgical techniques can be used to put in a stent (a thin, flexible tube) to drain bile that has built up in the area. The stent may be placed through a catheter that drains to the outside of the body or the stent may go through the blocked area and drain the bile into the small intestine.

• Percutaneous Transhepatic Biliary Drainage : A Procedure done to drain bile when there is a blockage and endoscopic stent placement is not possible. An X-ray of the liver and bile ducts is done to locate the blockage. Images made by ultrasound are used to guide placement of a stent, which is left in the liver to drain bile into the small intestine or a collection bag outside the body. This procedure may be done to relieve jaundice before surgery.

Chemotherapy : Chemotherapy may occasionally be used after surgery if all the cancer couldn’t be removed by the operation. It may also be used if an operation isn’t possible or the cancer has come back (recurred) after initial treatment.

Radiotherapy : It is occasionally used for cancer of the gall bladder. It can either be given externally from a radiotherapy machine or internally by placing radioactive material close to the tumour (brachytherapy).

Photodynamic therapy (PDT) : PDT uses a combination of laser light and a light-sensitive drug to destroy cancer cells. In gall bladder cancer it can be used to help relieve symptoms.