Huang, a woman in Yueqing, has rectal cancer and bile duct stones, which of the two surgeries should be done first? The two surgical procedures are the same as the one in the hospital. The 69-year-old Huang said that half a month ago, she suddenly felt a stomach cramps, thought she had eaten bad stomach, so she took some medicine. The family sent her to a local hospital, where the doctor gave her an ultrasound and said she had cholecystitis and bile duct stones, and the abdominal pain was caused by an acute attack of bile duct stones, which required surgery. The family then sent Huang to the lumpectomy department of the First Affiliated Hospital of Wen Medical University. The doctor took a detailed medical history and found a more serious condition than bile duct stones. The chief physician of lumpectomy surgery, Dr. Tu Jinfu, said that the colonoscopy and CT results showed that Huang had rectal cancer. The bile duct stones and rectal cancer are located in the upper right abdomen and lower left abdomen respectively. Whether the patient can bear it and the postoperative recovery are worrisome issues. If the bile duct stones and rectal cancer surgery are divided into two procedures, which one will be done first? If the bile duct stones were done first, the patient would have to recover for a month after the surgery and then have the rectal cancer surgery, for fear of delaying the disease; if the rectal cancer surgery was done first, the pain caused by the bile duct stones would keep haunting the patient. After discussion, the doctor decided to do a combined laparoscopic surgery for Huang’s grandmother, so that the two surgeries could be done together. The doctor made six small holes of 0.5 cm to 1.2 cm in diameter in Huang’s abdomen and displayed the images of the abdominal organs on a TV screen. While watching the TV screen, the doctor inserted tiny instruments through the small holes in the abdomen to remove the gallbladder and remove the bile duct stones. Then, the instruments came to the lower abdomen to remove the diseased rectum, which was more than 20 centimeters long. The operation took 4 and a half hours, and the bleeding was only about 100 ml. Three days after the operation, Huang was able to go down to the ground. ”In fact, many diseases of the abdomen can be solved by a single operation.” Dr. Tu said that like a patient who may suffer from both ovarian cysts and gallbladder stones, “the lesions are both in the abdominal cavity and belong to the same ‘room’.” This is when gynecologists and lumpectomy surgeons can perform a joint operation, with only one or two more holes than usual, with less trauma to the patient and lower medical costs.