Let patients with laryngeal cancer regained the "sound" of hopes to reconside the famous head and neck surgery expert slaughter measures

Let patients with laryngeal cancer regain the "sound" of hope

——The remembrance of famous head and neck surgery expert slaughter measures

On August 26, 2022, the famous head and neck surgery expert slaughter the rules and resigned.

It is one of the founders of the scientific discipline of the head and neck of my country. In his own opinion, it is actually "forced". "Why do the first resection of the throat in China? It is to allow patients to speak."

This stems from one thing that happened when he was transferred to the Cancer Hospital of the Chinese Academy of Medical Sciences in 1963. A patient with laryngeal cancer committed suicide pain painly after speaking after full laryngeal resection. The experience of this laryngeal cancer has deeply touched the benefit of the doctoral rules as a doctor. The slender life string is moved by fate, and the life that loses the sound may be the pain of the string to the patient. However, in 1963, patients with advanced laryngeal cancer, full laryngeal cutting, is the most popular treatment method in the world. In this year, the touched slaughter rules have tried partial resection surgery on the first case of the throat in China, and the operation was successful. Those patients who retain part of the throat can continue to speak. The laryngeal partial resection was accepted, and then continued to expand the indications to achieve three -quarter throat resection, so that those patients with advanced laryngeal cancer retained the laryngeal function without affecting the survival rate.

"Let patients with laryngeal cancer be able to speak after surgery!" It became the goal of the benefit of the rules and its departments. This is the beginning of the "throat -free esophageal pronunciation training class" that was gradually formed. While training patients, internal staff insist on combining training with basic research, and continuously summarize and improve. Patients participating in the training class can re -get the freedom of speaking. More scientific data is: 90 % of patients with whole throat removal can be re -obtained by one -month training.

"Thinking for the patient is the most basic medical ethics." This is the words that the rules are often hanging on the mouth. It is also based on "thinking for the patient" that he has continued to summarize the process and operation, carefully study, and boldly innovate.

For many years, the biggest difference between the treatment of head and neck tumors faced by the slaughter regulations and the treatment of other tumors is that it is necessary to completely cut off the tumor and protect the functions of the diseased organs as much as possible. The appearance of the patient. This increases the difficulty of surgery and the responsibility of doctors. Faced with such a complex human area, slaughter regulations often think about a question: how to minimize patients' pain.

Claus regulations found that in the treatment of medium ear cancer, mastoid drainage surgery, coupled with radiation therapy, has the effect of cure, and also reduces the patient's surgical trauma. In the treatment of advanced maxillary sinus cancer, if surgery radiotherapy is taken, it can help patients retain the eyeballs. In the treatment of oral cancer and neck shoulder cancer, the surgical range can be appropriately reduced. When the throat cracked vocal cord resection, he tried to break the routine and not perform bronchylotomy, which could reduce the pain of the patient's tube after surgery. On the night of the first operation, the slaughter rules were guarding the patient's bed all night. Watch the patient's breathing unobstructed to prevent accidents from appearing until the patient left until the patient stabilized. At that time, he was over sixty.

In the treatment of cervical lymph node metastasis, general surgeons advocated a cleaning surgery of the neck, while the slaughter regulations were designed in the 1970s to design limited neck cleansing, reduce trauma as much as possible, and try to preserve related organ functions. And ensure the treatment effect. Ten years later, people discovered that the district -selected neck cleansing in the international medical community coincided with this. In 1979, the slaughter regulations took the lead in deprivation of the esophagus and stomach esophageal repair technology in the esophagus of thoracic surgery in China, and introduced the esophageal cancer surgery of the lower pharynx. Because this surgery does not need to be opened, it reduces trauma and complications, reduces the risk of surgery, and reduces the pain of patients.

There is also nasopharyngeal cancer. The first choice of treatment is radiation therapy. The radiotherapy is very dangerous. In order to have more possibilities for patients, slaughter regulations are involved in this "surgical restricted area", and they have taken the lead in carrying out the rescue surgery of patients with nasopharynx cancer radiation therapy in China, which has attracted attention from the international academic community.

Sadness and compassion, fearing life, is a necessary basic professional literacy for doctors.

Play rules and regulations want to innovate in the academic field. During his time as the director of the head and neck department, he worked hard to create a tolerance and innovation academic environment, forming a virtuous circle of discipline progress and the benefit of patients.

In order to "make patients live better", the benefit of the slaughter regulations attaches great importance to "extraordinary cooperation". He and the non -surgical department, especially the radiotherapy department, cooperated very closely: "Due to the poor efficacy of a single treatment method, I checked domestic and foreign literature. The treatment of multidisciplinary treatment can improve the tumor control rate and actively cooperate with radiation therapy department. Radiation therapy before or after the head and neck tumor surgery. Since the 1960s, tumor treatment gradually reduces the scope of surgical resection after radiotherapy. Functional surgery. After years of practice, it has proven that this is indeed the direction of malignant tumor treatment. "If the patient needs radiotherapy, he will immediately go to the radiotherapist to formulate a treatment plan so that the patient can be treated in the shortest time.

A student who slaughtered the rules said: "Even how to close the skin wound can make the scar after surgery the least.He personally showed me to teach in person. "After a long time of ears, the student wrote himself: he had a habit of work outside the surgery, from cope to seriousness, and finally became a habit.In 2000, the 79 -year -old slaughter regulations "sealed the knife" to bid farewell to the operating table, but when he encountered difficult operations, he would accompany the student.Even if he stood for a few hours in a row, he would still insist on watching the student's last needle, and saw the wound bandaging before leaving the operating room.

Although he left the operating table, he never left the clinic line.As far as he is concerned, doctors have never been a profession, but a mission.

(Reporter Tian Yating Cui Xingyi)

【Edit: Zhang Yanling】

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