Patient: right abdominal pain, unsuccessful surgery in Anhui Provincial Hospital, can it be treated or not? Hepatobiliary Surgery Department, Hepatobiliary Hospital: It should be “gallbladder cancer invading duodenum”. I don’t know whether the patient has jaundice, whether there is invasion of liver and pancreas, and what are the details of portal vein and peripancreatic lymph nodes? If the disease is too advanced, surgery may not be appropriate; if the patient’s general and local conditions are still acceptable, we can explore the chance of re-operation. For “gallbladder cancer invading the duodenum” which can be operated on, multiple adjacent organs of the gallbladder will have to be removed, which is more traumatic and risky, so a prudent decision should be made. Specific information is needed to make a preliminary decision on whether surgery is appropriate. Patient: Professor Zhang, can I bring the relevant medical records to you, I hope you can give me some hope and save my father! Patient: I can only feel relieved when I go to you for diagnosis, and I can do right by my father, I am really in pain, I want to go to you on November 23, I don’t know if it is possible. I hope you can promise me, thank you! Hepatobiliary Hospital Hepatobiliary Surgery: It seems that I did not reply in time, forgive me! Patient: Professor Zhang: I went to you on the 23rd, you said at the time that there would be complications after surgery, I would like to ask you what are the chances of this, is it worth trying, how many such cases are there? How many such cases are there? Have there been any successful cases? Have there been any cases with complications after surgery? What is the percentage of them? I am quite conflicted. If the success rate is high, I think I will give it a try, after all, there is still hope. Anxiously looking forward to the reply ！！！！！！！！！ Hepatobiliary Surgery at Hepatobiliary Hospital: All surgeries are traumatic to the human body, and the bigger the surgery, the bigger the trauma, and the greater the corresponding risk! Surgery is only a means of treatment, not a guarantee or purpose of treatment, and its effectiveness, whether serious complications will occur, can only be concluded after practical testing. The possibility that surgery may lead to new problems is a common possibility, but it is impossible to predict the probability of its occurrence before the operation is performed, because each person’s specific condition, physical condition, details of the treatment, and reaction to trauma and treatment are not identical. In fact, whether to perform surgery or not has nothing to do with “good” or “bad”, but rather the choice of treatment option has more to do with “fighting for the first chance” and the patient’s or family’s attitude towards the condition. The choice of treatment option is more related to the “first chance” and the patient’s or family’s attitude towards the disease. For patients with advanced, traumatic and risky disease such as your father, if you choose to have another surgery, you must be prepared to “work in the best direction, but prepare for the worst”, as the saying goes. It is my advice: “Don’t decide when you hesitate, don’t regret when you decide”. Patient: Hello, Professor Zhang! I went to your hospital on the 2nd for MRI, now what about bile duct dilatation? If I can’t have surgery, can I have gamma knife treatment? Now a little jaundice, such as gamma knife treatment to control the tumor can not be surgery? How should I treat it now? I’d like to know more. Thank you! Hepatobiliary Surgery Department, Hepatobiliary Hospital: You can do ERCP or PTCD placement to reduce yellowing first, which is expected to improve the patient’s quality of life. Gamma knife is one of the methods of radiotherapy, it is difficult to confirm whether it can control the progress of the disease. Other non-surgical treatments include chemotherapy, herbal medicine, immunotherapy, nutritional support and symptomatic management, etc., which are appropriate to choose.