In the field of surgery, the boundaries of the tumor were blurred, which was much larger than before.

The insurance method is to separate the muscles, soft tissues, etc. on both sides of the larynx body and peel them directly to the upper edge of the arytenoid cartilage and the pedilloid fossa on both sides.

In this case, large grafted flaps will inevitably be used.

The subcutaneous fat in the neck itself is very small, the range of the skin flap is too large, and there is no blood flow inside, so necrosis is easy to occur.

Once necrosis occurs, the patient will lose his life instead of his throat.

Director Hou paused, and he didn't know how to make a decision.

Just then, Xu Qiu's calm voice sounded, and he calmly said: "Total laryngeal removal."

"It's...bloody..."

"Leave it to me."

These plain words made Director Hou suddenly startled.

He looked at Xu Qiu several times, and the other party's expression never changed, as if he had expected all this.

At this moment, Director Hou felt a wonderful feeling in his heart.

He has been the director for seven or eight years. He has always had no concerns about the lower-level doctors in the ENT for 7 or 8 years.

Because there is always Director Hou who provides them with the best guarantee.

But when Director Hou expressed his embarrassment for this operation, he found that he seemed to have backing!

"good!"

Director Hou nodded excitedly.

Total larynectomy lasted for two hours.

Afterwards, Xu Qiu took over and had lymph node dissection.

“It’s done…”

“Do your wound clean!”

The next steps were handed over to the assistant.

Xu Qiu and the others walked out of the operating room.

Total laryngeal tumor resection and lymph node dissection are all contaminated surgeries that have been contaminated with tumors.

To continue to undergo a pectoral flap transplant, you must re-brush your hands and wear new surgical gowns, gloves, etc.

After more than ten minutes.

call--

Next to the operating table,

Xu Qiu let out a sigh of relief.

After the cleaning operation warmed up, his feel was also improved to the extreme.

His fingers arched, and there seemed to be countless silk threads on his body, carefully controlling every subtle movement and controlling every slight change in force.

“Let’s start…”

Xu Qiu's voice was neither salty nor light, as if there was only an ordinary operation in front of him.

Qiu Bo's chest was drawn with methylene blue.

Xu Qiu's scalpel fell down and cut along the marking line. One side of the skin was made of a paddle-shaped incision, with almost exactly the same width, all six centimeters.

On the other side, it extends from the axillary part to the fourth intercostal, parallel to the clavicle, and makes an oblique rectangular incision.

The chest incision is opened!

Next, the myodermal flap isolates...

“Line Zero.”

Xu Qiu stretched out his hand.

The equipment nurse and Misuke next to him were stunned for a moment.

Why do we need to use sewing needles during separation?

Director Hou on the opposite side was also confused and did not understand the significance of this move.

However, Xu Qiu took the stitch and line No. 0 was swiftly shuttled, suturing and fixing the flap of the pectoralis major muscle and the skin edge.

"this……"

"Is it to prevent muscle and skin from being separated during separation?"

Director Hou and others immediately noticed Xu Qiu's purpose, and a trace of shock flashed in their eyes.

Is Xu Qiu's control over the details of the surgery so terrifying?

...

On the operating table, Xu Qiu ignored the eyes of others.

He was immersed in the world of surgery, with needles and scalpels in his hand constantly switching, and soon separated the pectoralis major muscle towards the axillary, and then neatly cut off the attachment of the chest rib fibers on the medial pectoralis major muscle.

Director Hou looked at Shunoide, and the next moment he was filled with shock.

"That's a blood vessel?!"

Under the bright shadowless light, under the musculocutaneous flap of Xu Qiu's separated pectoralis major muscle, there is a blood vessel from the top to the bottom, which is the muscle blood vessel pectoralis!

Director Hou was stunned.

No wonder...

Xu Qiu asked him to let go and remove his throat, and it turned out that he had already been prepared!

A muscle blood vessel pedicles formed in the flap can artificially establish blood circulation to prevent infection and necrosis!

"He seemed to have expected everything..." Director Hou glared at Xu Qiu's eyes, his emotions becoming more and more complicated.

...

The operation ended until the eighth hour.

Director Hou had already rested once in the middle, and there were several doctors who also felt dizzy. This was hypoglycemia caused by excessive brain use and no sugar source supplementation.

"I'll lose some glucose..."

"I'll go, too."

"I can't stand it anymore!"

The physical and energy consumed by the operation is much greater than expected.

A group of teams, different doctors were divided into several groups, and they exchanged in turn.

The surgical area is equipped with a refrigerator. Generally speaking, there is no drink allowed inside, and only things such as glucose and normal saline are stored.

but……

As long as you drink these things, you will know how difficult it is to eat.

Very sweet and disgusting.

Therefore, many operating room refrigerators will store some coke.

Although it does not comply with the regulations.

But who can resist drinking a sip of cold Coke when your mouth is dry and your body is stuffy?

Gulugulu...

After a few mouthfuls of drying a bottle of Coke, the attendant gave a long burp.

The deputy director drank in small sips, glanced at the attending doctor, and shook his head.

"Director, is Dr. Xu a robot? He has been doing this operation for six hours in a row!" said the attendant with emotion.

Speaking of this topic, the deputy director's pupils also shrank, and his heart was greatly touched.

Those who act as assistants are so tired that they are beyond adulthood.

As the main swordsman, Xu Qiu's energy loss and physical energy consumption speed are two or three times that of theirs!

but……

Xu Qiu is still standing on the stage until now!

"Deputy Director, stop drinking, I feel guilty, let's go back quickly..." The attendant said, quickly filling another bottle, re-entered the sterile process, and returned to the operating room.

The deputy director held the Coke and stood there blankly.

You finished showing off two bottles, but I didn’t finish half a bottle... I told me not to drink it?

...

Before we knew it, the city had ushered in twilight, and neon lights were on.
To be continued...