Why did the patient’s condition not improve at all after surgery for hepatocellular carcinoma with bile duct embolism?

  Patient: abdominal distension and pain, started on August 28th this year. At the end of September this year, he was treated at 301 Biliary Surgery Department, where he underwent surgery for radiofrequency ablation of liver cancer and removal of bile duct cancer embolus, after which the surgeon left a bile drainage tube. The first time we were at home, we felt uncomfortable in the abdomen for 5 days, and then let go of the tube, the second time for 3 days, and felt uncomfortable, and let go of the tube after the blood flow, at this time, 1.5 months after the surgery, immediately to 301 follow-up, after doing CT films, the doctor said that you can pull out the tube, for this reason did not pull out the tube, the tube was about to be the third time The patient’s fever then released the tube, bleeding again, and then the patient’s fever subsided, but again began to abdominal distension and pain, which lasted 4 days, the hospital interventional department said that the patient’s body is not suitable for interventional, did not give arrangements, there is no choice but to be discharged home, home after 1 day of clamping the 6 After returning home, the tube was clamped shut for 6 hours, bleeding again, and slowly became clearer after the drainage tube was released continuously. I would like to ask Director Zhang’s help, what exactly is my father’s situation, why after the radiofrequency ablation surgery and bile duct cancer embolization, the drainage tube will keep having such problems. The hospital said it was a small tumor recurrence, but I thought why the duct could not be closed? Is it because the total bile duct in the patient’s body is not working? Why is it that all patients who have seen Dr. Zhang’s work show signs of improvement, but why is this happening to us? Laboratory and examination results: Laboratory test on December 4, liver function is basically normal, metafetal 1950, Hepatobiliary Surgery Department of Hepatobiliary Hospital: Radiofrequency ablation and bile duct cancer bolus removal are mostly palliative treatment methods, and it is hard to say that the primary foci of liver cancer have been completely removed. If there is still residual cancer, tumor tissues will continue to grow and form new cancer emboli, which will also block the bile duct or drainage duct again. There is a possibility of bleeding from the original cancer thrombus trauma or new cancer thrombus tissue, and it is not surprising that there is blood and water in the drainage duct. It is recommended that a bile duct angiogram be done first to understand the actual condition of the current bile duct. If the physical condition is still acceptable, there is no ascites, and the liver and kidney function and blood routine are basically normal, you can try interventional therapy, and if not, you can see if you can do radiotherapy in the area of liver cancer lesion. Poor digestion may be related to the presence of liver cancer and impaired liver function, so we can ask the gastroenterology department to pick up the treatment.