February 10th.

Rainbow Hospital.

Head and neck surgery, in the operating room.

The attending physician, Xie Fei, is performing a difficult operation.

The patient is a 52-year-old patient with pharyngeal esophageal cancer.

Nine years ago, he was diagnosed with laryngeal cancer and underwent a partial laryngectomy.

Later, the patient's laryngeal cancer recurred and expanded, requiring treatment with total laryngectomy.

The patient learns that the total laryngectomy will lose the vocal function, and can only use artificial larynx, electronic larynx, etc. to speak simply.

At the same time, the patient also has hyperthyroidism, nodules in both lungs, kidney stones in both lungs, and comorbidities such as hypertension, diabetes mellitus, and coronary heart disease.

But...... He himself was very resistant.

The patient wishes to remove the recurrent tumor but save the throat.

In the face of strong demands from patients.

Professor Xie Fei's team from Rainbow Hospital, after thinking twice, proposed a plan of "allogeneic laryngeal-trachea-thyroid-hypopharyngeal-esophageal combined transplantation".

It is different from relatively mature liver, kidney, heart and lung transplantation.

There are very few successful cases of laryngeal transplantation worldwide, and there is not much information to review, and there is no mature experience to draw on.

Professor Xie Fei's team, together with multidisciplinary experts from Rainbow Hospital, faced this difficult operation together.

Surgery is difficult.

For example, laryngeal transplant donors are scarce, and the donor blood vessels are in a special condition, involving multiple blood vessels and nerves, and cannot be fully examined before surgery.

For example, the perfusion of the donor needs to be completed in the shortest possible time, but there is a lack of special perfusion tools, and the perfusate from the arterial blood vessels is perfused at a high pressure, which can easily damage the laryngeal donor blood vessels.

For example, the larynx is a multi-tissue organ, including cartilage, mucous membranes, muscles, thyroid and other tissues, how to effectively prevent rejection.

For example, the larynx plays an important role in respiration and expectoration, and is a "polluting" organ, while the bacterial profile of the recipient and the donor may be different, and infection may occur.

For example, ex vivo pruning of laryngeal donors, matching of small vessels, and selection of optimal return veins.

In the midst of many difficulties.

Every detail determines the success or failure of the operation and the life of the patient.

In this regard, Professor Xie Fei's team made extremely detailed preoperative preparations.

During the procedure.

Dr. Xie Fei and his assistant were calm.

He removed the 523 larynx, trachea, and thyroid gland of the donor's donor, and fully perfused the organs to prevent blood clotting.

The assistant performs total laryngectomy + total thyroidectomy + bilateral cervical lymph node dissection on the patient.

This type of surgery has not been reported before.

In other words, today's combined laryngeal-trachea-thyroid-hypopharyngeal-esophageal transplantation is the first in the world.

During transplantation.

Xie Fei raced against time to perform a combined laryngeal-trachea-thyroid transplant.

He reconstructed with small blood vessels, reconstructing 2 arteries and 4 veins of the patient.

Then, it took him 3 hours to reconstruct 6 small blood vessels and 4 nerves, with an average of 18 minutes to reconstruct one vessel/nerve.

During the whole procedure.

Rainbow Hospital dispatched 40 medical staff.

After the surgery, the surgeons' hands need to be soaked in ice water under a microscope all the time to perform delicate operations.

Doctors from the Organ Transplantation Center of Rainbow Hospital will provide guidance on intraoperative hypothermia protection, vascular opening skills and the use of anti-rejection drugs.

Anesthesiologists keep an eye on the monitor to protect patients.

With the superb surgical skills of the team members, as well as the close cooperation of the otolaryngology-head and neck surgery, organ transplantation center, anesthesia and nursing teams, the time of donor laryngeal ischemia is reduced as much as possible, and the success rate of donor laryngeal-trachea-thyroid transplantation is greatly guaranteed.

It's a very dangerous process.

Every stitch counts.

If one of the injections is wrong, blood clots form in the blood vessels and enter the lungs, causing pulmonary embolism.

It is even more difficult for the transplanted donor larynx to "communicate" with the reconstructed blood vessels.

The team led by Xie Fei carefully stitched more than 100 stitches.

At the same time, Xie Fei also pioneered the reconstruction of the cervical plexus and the superior laryngeal nerve of the graft, completing a world-class breakthrough.

Ten hours later.

The operation is officially over.

The team led by Xie Fei breathed a sigh of relief.

Surgery is easy to say, but it is actually extremely difficult.

At one point during the surgery, the patient had elevated thyroid hormone and even hyperthyroid crisis.

Fortunately, Xie Fei cooperated with endocrinologists to regulate the patient's endocrine hormones, and blood sugar and thyroid hormones were well controlled.

Next.

Only a period of recuperation is required.

Patients are able to cough up sputum through the mouth, speak simply, and regain some swallowing function.

After leaving the operating room.

Everyone had a smile of joy on their faces.

Today's difficult surgery is the first of its kind in the world.

At the same time, Xie Fei's medical skills amazed everyone.

Seeing everyone's happy expressions.

While Xie Fei was happy, he also had a trace of doubt in his heart.

My family knows my own business.

Although he was highly skilled, it was extremely difficult to complete the operation easily.

Can be in recent times.

Xie Fei found that his theoretical ability and clinical practice ability have reached a new level.

And with the increase in the number of surgeries.

He had a sense of incurability.

It's as if there is no disease in the world that can stump oneself.

......

At the same time.

Rainbow Hospital, Hungarian Surgical Operating Theatre.

The attending physician, Li Wei, is performing a "mirror man" combined with radical lung cancer surgery.

The so-called mirror person is the position of organs such as the heart, liver, spleen, and gall bladder, which is the opposite of a normal person.

Mirror people, usually do not affect health.

However, once the disease is presented, it can be a huge obstacle to surgical treatment.

Hungarian endoscopy.

The whole field is like seeing the lower lobe of the left lung in a mirror.

This puts forward extremely high requirements for the surgeon's familiarity with the lung dissection structure and spatial imagination.

The patient's heart, aortic arch and esophagus are located on the right side, the right lung has only two lobes and the lobe fissure is completely undeveloped, and the bronchial and arteriovenous blood supply is similar to the situation of the left lung of a normal person, so the operation can only do retrograde lobectomy.

The chief surgeon, Li Wei, led the medical team to comprehensively examine the Hungarian cavity, and knew it in his heart.

He observes carefully, unraveling and separating layer by layer.

When the lower lung bronchus were separated, he found that the bronchi in the dorsal and basal segments of the lower lobe of the patient's right lung were abnormally large and staggered, tightly clasping the posterior pulmonary artery.

If it is forcefully separated, it is very likely to cut the blood vessel wall and cause uncontrollable hemorrhage.

Li Wei immediately made a decision and put the red urinary catheter as a buffer and protection device at the tip of the nail cabin.

With rich surgical experience and superb surgical skills,

He successfully separated the trachea and blood vessels, and severed the tracheal structure.

Next.

In one go, Li Wei successfully removed the patient's lung tumor and completed lymph node dissection.

At this moment, everyone in the operating room was excited.

There are only 25 cases of patients with lung cancer in the world. (If you read a violent novel, go to Feilu Novel Network!)

Of the 25 cases, only 16 were treated with surgery.

And today's "mirror man" combined with radical lung cancer resection is the first case in China!

Such a difficult operation.

Dr. Levi did it easily.

His medical skills are unimaginable![]

......

The other side.

Neurosurgery, operating room.

The attending physician, Zhao Xing, is performing a difficult operation.

The patient has a large tumor in the lumbosacral spinal canal, which is a rare and highly aggressive tumor with multiple nerves encased in it, which has severely damaged the bone structure near the lumbosacral vertebral body (CDCH) and is at high risk of paralysis.

If the tumor can be removed by conventional surgical methods, but the nerve function is difficult to preserve, the patient will have to wear a urethral catheter and an artificial steel door in the future, which will seriously affect daily life.

Zhao Xing's team began to think about how to completely remove the lesion while preserving the patient's nerve function to the greatest extent.

In addition, after tumor resection, the lumbar vertebrae, sacrum, and sacroiliac joints that are removed will greatly affect the biomechanical structure of the spine and pelvis.

The upper and lower body bones are disconnected, and spine and pelvic reconstruction are equally challenging.

Faced with a difficult operation.

Zhao Xing's team formulated a detailed surgical plan, and repeatedly scrutinized and studied to simulate the surgical process.

To reduce bleeding, they embolized part of the patient's tumor blood vessels before surgery.

After dissection of bilateral sacroiliac joints and lumbar 4.5 vertebral joints.

Zhao Xing used the technique of peeling off the cocoon from many nerves to protect the only sacral nerve on the side that has not been eroded by the tumor, and finally removed the tumor together with the eroded bones and nerves.

In terms of rebuilding limb stability,

Zhao Xing's team decided to use 3D printing technology to tailor a titanium alloy prosthesis structure for the patient, which plays the role of lumbar spine and sacrum.

and re-establish the stability of the spine and pelvis, connecting the skeletal structure of the upper and lower body.

The latest single-vertebral four-nail satellite rod technology is used to increase the holding force of the prosthesis and form the most powerful fixation.

After 8 hours.

A pineapple-sized tumor, along with the eroded lumbar sacrum, was completely removed, maximizing neurological preservation.

The 3D printed titanium alloy prosthesis perfectly fills the vacant vertebral body.

After completing the surgery.

Zhao Xing's team breathed a sigh of relief.

The resection of a huge spinal tumor and 3D printed lumbosacral combined replacement with neurological function that they completed was the first in the world!

......

Meanwhile.

Other departments of Rainbow Hospital also received good news about the operation.

The success of each difficult operation made the hospital full of laughter.

After Fang Yun learned about the recent situation of Rainbow Hospital, he was also happy for the patients from the bottom of his heart.

When Rainbow Hospital was founded.

It has the top medical team and high-end equipment.

Coupled with the blessing of the doubling aura of the village's medical technology.

The medical level and technical competence of all medical staff have been doubled.

That's why.

They are able to complete one operation after another with ultra-difficult surgeries.

Over time.

The medical staff of Rainbow Hospital will have stronger medical skills and nursing capabilities, and become the world's top hospital.

......

After Rainbow Hospital completed a series of difficult surgeries.

The hospital news and publicity department, rainbow short video, rainbow TV and other media continue to release various hospital dynamics.

"The World's First Case!Rainbow Hospital Completes "Mirror Man" Combined with Radical Lung Cancer Resection!"

"The World's First Case!Rainbow Hospital Completes Allogeneic Laryngeal-Trachea-Thyroid-Hypopharyngeal-Esophageal Combined Transplantation!"

"The World's First Case!Rainbow Hospital Completes Neurological Preservation of Giant Spinal Tumor Resection and 3D Printed Lumbosacral Combined Replacement Surgery!"

......

"The First Case in China!Rainbow Hospital Completes EAS Auditory Implant Surgery!"

"The first case in China!Rainbow Hospital completed robotic total knee artificial joint replacement surgery!"

"The first case in China!Rainbow Hospital completed autologous deep vein reconstruction abdominal aorta surgery!"

"The first case in China!Rainbow Hospital completed the implantation of a new transcatheter aortic valve system!"

"The first case in China!Rainbow Hospital completed robot-assisted transbronchoscopic pulmonary nodule biopsy!"

......

"The first case in the country!Rainbow Hospital completed the heart transplant of twin children!"

"The First Case in China!Rainbow Hospital Completes AIM Cochlear Implant Electrode Implant Surgery!"

"The first case in China!Rainbow Hospital completed radiofrequency ablation of renal artery sympathetic nerve!"

"The first case in the country!Rainbow Hospital completed SUNA fork nerve microvascular decompression!"

"The first case in China!Rainbow Hospital completed modified macular cuffing combined with autologous retinal transplantation!"

......

Hundreds of nationwide first-of-its-kind surgeries.

Let Rainbow Hospital make a sensation in the domestic medical community.

Many of these difficult surgeries use surgical robots.

At this stage, robotic surgery is known as the third generation of surgical revolution and is the crown jewel of clinical medical diagnosis and treatment tools.

Each surgical robot integrates many disciplines such as clinical medicine, biomechanics, mechanics, materials science, computer science, microelectronics, and mechatronics.

In the eyes of the medical community.

The hardware facilities of Rainbow Hospital are already the top in the country.

And with the country's top medical team.

This is the only way to set domestic medical precedents again and again.

......

on the Internet.

Netizens are also talking about Rainbow Hospital.

"Oh my God! Rainbow Hospital is so good!

"Rainbow Hospital's top-notch medical equipment and top-notch medical team are so powerful that they explode!"

"Hundreds of surgeries have created the first case in China! The medical level of Rainbow Hospital is unbelievably high!"

"Have you noticed? Every department in Rainbow Hospital is very good, salute these medical staff!"

"Although Rainbow Hospital is a private hospital, their current surgical level is no less than that of the top hospitals in the country!"

"The Rainbow villagers are so happy! You can enjoy the top medical resources without leaving the village!"

"The most exaggerated thing is that the Rainbow villagers go to the Rainbow Hospital for medical treatment, and the fee is free!".

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