"If the pectoralis major muscle flap reconstruction is changed, the cumbersomeness of the surgery will be further improved!

Before, I expected it to be around ten hours.

If it is replaced with a flap reconstruction, it requires a myoskinous island and needs to be modified and reworked. The operation time will be further extended, possibly to twelve hours, or even more!”

Director Hou took a deep breath.

Total larynectomy is not too difficult.

The previous plan for surgery was that Xu Qiu did the resection, and Director Hou and another deputy director were responsible for throat transplantation.

Therefore, the pressure is not too great.

But now,

If it is replaced with a flap reconstruction, no doctor can do it in the ear, nose and throat!

The director of burn surgery is good at flap transplantation, but he knows nothing about throat transplantation…

Therefore, unless Xu Qiu undertakes the entire operation that lasts up to ten hours, there is no solution.

but……

How can ten hours of concentration be easily accomplished?

Ordinary people can't even stay for forty-five minutes of class.

The physical and energy required for surgery is several times more than learning, and there is no mistake to allow. If you keep your nerves tight for ten hours, no one can resist it.

"or……"

Director Hou looked at Xu Qiu and was about to cancel the operation.

But at this moment, a faint smile appeared on Xu Qiu's face, and he was not afraid at all, saying, "Let's arrange the operation, Director Hou."

...

Qiu Bo's laryngeal cancer invasion range is too wide.

Therefore, it cannot be delayed and surgery must be done as soon as possible.

When he loses the opportunity for surgery, his life will have to be calculated in months.

After confirming the change of the surgical plan, he quickly cheered up after a brief pessimism, readjusted his body and prepared for the operation.

In a few days, the ENT and imaging departments conducted multiple evaluations to protect Xu Qiu's surgery.

Neck and chest skin.

Barium swallow x-ray fluoroscopy or photography to check the laryngeal and esophagus to determine the tumor range...

The day before the operation, Xu Qiu took a half-day vacation.

When he came back, he was in great spirits and his whole body was adjusted to his best condition.

Preoperative.

Xu Qiu drank a bottle of primary physical potion and energy potion.

He had never estimated his limits.

However, no one can replace the difficult operation for more than ten hours, so he has to do it from beginning to end... few people can withstand it!

As he walked to the operating room, scenes of the operation flashed through Xu Qiu's mind.

In the past few days, this operation has been simulated dozens of times in his mind.

Master-level total laryngealectomy.

Master-level flap transplantation.

He mastered top technology and experience in both surgeries.

Combining the two depends on Xu Qiu’s years of experience and clinical intuition tempered from countless surgeries!

...

Half an hour later,

Qiu Bo lay on the bed. After learning that he had cancer, he had grown a lot aged a lot in the past few days, his hair was half white, and the wrinkles on his face became a little deeper.

"I told my daughter that there was a big project in the company that I was going to send me on a business trip... She believed it. Doctor, I must wake me up, and I am the only one left for my daughter." Qiu Bo's voice became more and more hoarse, and in his words, it was the father's deep love for his daughter.

In the past few days, everyone has also learned about Qiu Bo's situation.

Qiu Bo is a single father.

His son-in-law cheated during pregnancy, and his daughter was disheartened and divorced decisively.

But the child was too old at that time and could no longer have miscarriage, so he had to give birth.

For her daughter, she only has her father, a man who loves him.

Similarly, for Qiu Bo, his daughter is also his whole world.

"Let's go, and when the operation is over, you can hold your grandchildren." said the anesthesiologist.

"Can you tell me if it's a boy or a girl?" Qiu Bo's voice was very unpleasant. The throat cancer compressed the vocal cords and made a narrow and cramped roar.

"The hospital has regulations that the gender of a girl cannot be disclosed."

Qiu Bo was stunned at first, then a joyful smile appeared on his face.

The girl is OK...

Girls are considerate and know how to care for others!

Qiu Bo's face was filled with happiness.

On the other hand, the anesthesiologist began to monitor, first opened the superior vena cava, and then performed ecg, spo2, etco2, bp, urine volume monitoring, etc.

This surgery takes a long time and has high risk, so the anesthesia method is more particular.

The anesthesia department held several meetings before finally determining the anesthesia plan.

"Put the 1.8μg dexmedetomidine first for 20 minutes..."

"Then intravenous injection of sufentanil, midazolam, propofol, and rocuronium induced..."

"After the tracheostomy is placed in a single-cavity tracheal catheter, connected to an anesthesia machine, and controlled breathing at twelve times per minute, tidal volume 8ml/kg, airway pressure 13cmh2o, and end-expiratory carbon dioxide partial pressure 32mmhg..."

The anesthesiologist is very skilled in the operation.

Gradually, Qiu Bo's consciousness gradually lost, and his breathing was completely taken over by the anesthesia machine, and he fell into an anesthesia state.

"The operation begins."

At the same time, Xu Qiu's voice fell to the ground, and the atmosphere in the operating room immediately tightened, and all the doctors were ready!

...

This joint operation has three stages.

1. Cut the throat.

This is the prerequisite for reconstruction, and it is also a surgery to remove the tumor and infiltrate the throat.

2. Lymph node dissection.

This is related to the chance of tumor recurrence, which directly affects the success or failure of the operation, and no mistakes are allowed.

Finally, it was Xu Qiu's stomach flap transplantation and reconstruction.

The total laryngealectomy was left to Director Hou.

The process of this operation is too long. Even if Xu Qiu is caught, even if he wants to hold on, it will be difficult to reach the sky.

Therefore, he did not show off his strength, and the steps that could allow others to replace him were handed over to the transplant team.

After the laryngeal resection, the infiltrated lymph node part was taken down by Xu Qiu.

He has master-level dissection and perfect lymphadenectomy...

No one is more suitable for cleaning than him.

"Doctor Xu, I'm starting." Director Hou said on the stage.

Everyone around was a little surprised.

Director Hou actually used this tone of reporting...

This is the chief physician!

"Okay, let's start." Xu Qiu nodded.

When the scalpel falls, all positions lose their meaning, and only the skills in hand can be seen.

Director Hou has a deep foundation.

He made a vertical incision in the middle from the upper edge of the hyoid bone to the top of the sternum notch, and then followed the midline of the neck to cut the periosteum of the hyoid bone, separated the sternum hyoid bone muscle, thoracic muscle, meridian muscle, and suprahyoid muscle, and ligated and finally cut it off.

Immediately afterwards, the entire hyoid bone was removed.

Pear-shaped fovea mucosa...

“Stripper!”

"Little yarn ball!"

"Vascular forceps!"

"Type-cutting!"

The same kind of equipment was handed to Director Hou.

As the operation proceeded and the trachea was cut off, everyone finally saw the throat.

When he was about to cut off his entire throat, Director Hou's hand suddenly stopped above the field, and he was in great shock.
Chapter completed!