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Chapter 141 Bad news! Surgery canceled

Dr. Hou deliberately blurred the time and place.

Organ donation adheres to the double-blind principle, and neither the donor nor the recipient can know the identity of the other party.

Of course, he couldn't be stupid enough to say that he was the child in the ICU who had just been brain-dead.

Qiu Bo's gloomy eyes suddenly shone brightly. He clenched his fists and shouted in a hoarse voice: "Doctor, hurry up, help me arrange surgery!"



The child's throat finally matched that of Qiu Bo, and many organs and tissues throughout his body had already gone.

The only thing the family members know is that this donation has dragged a total of seven people out of the quagmire of the disease!

In the emergency department, Wang Ping and Xu Qiu are responsible for communicating with the ENT director Hou and other doctors.

Wang Ping said: "Take out the living body and arrange an operation as soon as possible!"

Director Hou nodded.

Of course he knew this.

Most living organs need to be transplanted within eight hours, otherwise severe ischemia-reperfusion will occur, and the function and activity of the organ will be greatly affected.

in other words,

Tonight, Qiu Bo will undergo an emergency throat transplant!

"Transplantation is very difficult. The transplant scope includes the larynx, trachea, throat, esophagus, etc..." Director Hou frowned.

The source of the larynx has been solved, but the current problem is the difficulty of transplantation.

Nowadays, the transplantation of kidneys, hearts, lungs and other organs has become quite mature. In the current medical field, only small intestine transplantation is still at a level that no one dares to touch.

However, laryngeal transplantation has always been in a relatively backward position.

It is not an organ necessary for life,

But the difficulty is not small, involving breathing, vocalization, swallowing, etc.

It is actually quite difficult to restore the physiological functions of the larynx after transplantation.

In addition, unlike the heart, lungs, and kidneys, the larynx is not in a sterile environment, but is directly connected to the outside world. Infections from two sources, such as the pharynx and trachea, can easily occur.

Therefore, laryngeal transplantation in clinical practice has always been one of the difficult problems in otolaryngology.

“Can do it!”

However, in the face of all difficulties, Director Hou nodded solemnly and gave such an answer.

After half an hour of discussion, the surgical plan was finally finalized.

The blood supply is first reestablished between the donor's larynx and the recipient's throat and neck vessels, and then buried in the recipient's neck tissue.

This step can prevent communication with the tracheal lumen and minimize the chance of infection.

After that, after the donor throat is allowed to survive, the normal structure, physiological functions, etc. of the throat will be restored in the second stage...

"The biggest problem now is that this operation is unprecedentedly complex. The operation may take more than ten hours. I definitely can't do it by myself!" Director Hou tapped his index finger on the table, feeling very irritable.

Xu Qiu, who had been silent for a whole time, closed the medical record in his hand and said, "Leave it to me for total laryngectomy."

"you?!"

"Dr. Xu, can you still perform laryngectomy?!"

On the ear, nose and throat side, everyone was amazed.

Director Hou had seen Xu Qiu undergo carotid endarterectomy before.

That unique skill really surprised him.

Therefore, seeing that Xu Qiu wanted to do all the resections at this moment, he felt happy in his heart.

"Okay, Doctor Xu, you come with me for the surgery, you perform the resection, and I will be responsible for the subsequent laryngeal transplantation!"

Xu Qiu nodded calmly.

More than ten days ago, he obtained a master-level "total laryngectomy" from the check-in.

However, there was nothing he could do about laryngeal transplantation. Although he somewhat understood the steps and details of transplantation, he did not have master-level experience and had not performed the operation himself, so it was naturally impossible for him to go on stage to harm others.



after an hour.

Director Hou, Xu Qiu and other members of the laryngeal transplant team are conducting final pre-operative discussions.

Suddenly, an urgent phone call came in.

Director Hou quickly picked up the answer. After a moment, his expression changed drastically and he slapped the plan in his hand on the table.

He looked at Xu Qiu and others, with his mouth open, his expression a little weak, and said: "It's over, we just found out that the donor's throat is also injured and cannot be transplanted!"

The surgical team, who were having a heated discussion just a moment ago, fell silent in an instant!

Everyone stared in disbelief.

"injured?"

"how so!"

Many people looked sympathetic.

Qiu Bo had only learned a few hours ago that he could have a laryngeal transplant, and now telling him that the operation needed to be cancelled was tantamount to falling from heaven to hell.

Director Hou's face also looked a little gloomy.

At this point, the only option is to cancel the operation first.

Although Qiu Bo's side has made adequate preoperative preparations, how can a transplant be done without a donor?

He was about to make a call when Xu Qiu, who had been sitting in his seat, suddenly stood up.

"Um?"

Director Hou paused and looked at Xu Qiu.

Just in time to meet those calm and calm eyes.

Xu Qiu thought for a moment and said: "If the delay continues, the patient's survival period will not be optimistic."

The patient's tumor has infiltrated and spread, and the lymph nodes on one side have begun to metastasize. This is considered the final stage of surgical treatment.

If it's a little later, you can only rely on radiotherapy and chemotherapy to maintain your life and completely embark on the road to fighting cancer.

Doctors are already at a loss as to how long he can live.

Director Hou said solemnly: "I know, but without donors, it's hard for a clever woman to make a meal without rice!"

He paused, looked at Xu Qiu, and asked tentatively: "In other words, Doctor Xu, what do you have in mind?"

Xu Qiu nodded and said calmly: "Use the patient's pectoralis major muscle for myocutaneous flap reconstruction."

In other words,

Make the pectoralis major muscle into a laryngopharyngeal esophagus!

As soon as this idea came out, the ENT doctors present were stunned for several seconds.

Director Hou came back to his senses and said in shock: "This idea is very creative, but... even laryngeal transplantation is difficult. Reconstructing a skin flap into a larynx? This is too difficult!"

Other doctors were also surprised.

Xu Qiu's idea is very creative.

It can even be said to be unconstrained!

But, this is too unrealistic!

Skin flap transplantation is not simple in the first place. It has to be followed by laryngectomy to replace laryngeal transplantation. The complexity and the handling of various details are beyond the imagination of ordinary people!

"etc!"

Suddenly, Director Hou's pupils shrank. He looked at Xu Qiu in surprise and said, "Doctor Xu, have you ever had a skin flap transplant before?"

Being reminded like this, everyone else remembered it.

When Xu Qiugang entered Linhai No. 1 Hospital, he once rescued a patient whose left upper limb was damaged by high-voltage wires from a factory.

Subsequently, Xu Qiu went to the International Friendship Hospital and performed the same surgery with Meng Ying'an, a leader in the field of skin flap transplantation, and even took over the most difficult part of the surgery!

"Dr. Xu is a master of skin flap transplantation!"

"Holy crap, I forgot about this!"

"If it's Dr. Xu, maybe it can really be done!"

At this moment, many ENT doctors looked excited and a little impatient.

"No, it still doesn't work..."

At this moment, Director Hou made an inappropriate sound.
Chapter completed!
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