中新网上海4月19日电 (陈静 沈艳)罹患甲状腺癌、术后复发、肿块溃烂、癌症肺转移……一系列的变故让年近60的田先生痛苦不已，而让他几乎绝望的是由于牵涉部位众多、手术难度太大，没有一家医院可以为他进行手术。

中新网上海4月19日电 (Chen jing shen,)Thyroid cancer/Postoperative recurrence/Tumor fester/Pulmonary metastasis cancer...A series of changes for nearly 60 years of tian pain unceasingly,And let him almost despair because many parts involved/Operation difficulty is too big,Not a hospital to undergo surgery for him.

　　上海交通大学附属第六人民医院今日披露，该院成功地为其去除了肿瘤，为开展后续治疗、延长生命争取了宝贵的时间。

上海交通大学附属第六人民医院今日披露,In addition to the hospital successfully for the tumor,For subsequent treatment/Prolong life for the precious time.

　　院方透露，整台手术融合了颈胸颈部联合右侧甲状腺全切除、左侧甲状腺次全切除、右侧颈部淋巴结清扫、右侧颈总动脉切除、人造血管重建以及背阔肌皮瓣移植术等六个分手术，难度罕见巨大，专家们配合默契，顺利完成手术。

The hospital said,The whole surgery combined with total excision of the neck chest neck joint on the right side of the thyroid gland/On the left side of the thyroid subtotal resection/On the right side of neck lymph node cleaning/The right common carotid artery resection/Artificial vascular remodeling and the back width myocutaneous flap transplantation surgery six points,Rare great difficulty,Experts with the tacit understanding,Successfully completed surgery.

　　田先生曾在7年前查出罹患甲状腺癌后，在当地医院接受了“右甲状腺癌切除术”，两年后他发现在颈部右前区出现了一个肿块，并持续增大。随着时间的流逝，肿块逐渐长成了拳头大小，而且原先的手术切口逐渐红肿并出现破溃。

田先生曾在7年前查出Thyroid cancer后,Accepted at the local hospital"The right thyroid carcinoma resection",Two years later, he found that there was a lump in the neck right front area,And continue to increase.With the passage of time,Mass gradually grew up and became the fist size,And the original incision of swelling and gradually appears burst.

　　今年年初，田先生右手臂已无法上举，就医后被告知是颈部肿块所致，并且肿瘤已转移到了肺部，需要立即接受手术治疗，但鉴于手术难度，多家医院后院方均表示束手无策。

今年年初,He has been unable to lift on right arm,After doctor is told to be caused by a neck mass,And tumor has been transferred to the lungs,Need immediate surgery,But given the operation difficulty,After hospitals, the hospital said to do.

　　田先生颈部肿块中央的破溃口越来越大，伤口看上去一片血肉模糊。带着最后一丝希望田先生求助六院。

田先生颈部肿块中央的破溃口越来越大,Look a bloody wound.With the last glimmer of hope tian six yuan for help.

　　普外科主任樊友本诊断其为甲状腺癌术后复发并伴有肺部转移，单凭肉眼就可以观察到田先生的的颈部肿块巨大，从脖根凸出到下巴，而且随着肿块的增大，皮肤不断被撑开后破溃出血，并伴有红肿。

普外科主任樊友本诊断其为甲状腺癌Postoperative recurrence并伴有肺部转移,Only by the naked eye can be observed that tian has had a huge neck lump,From BoGen bulge to the chin,And with the increase of lump,After the skin has been propped open burst bleeds,Accompanied by redness and swelling.

　　CT检查也显示，田先生右侧巨大的甲状腺肿块紧紧吃住了气管、完全包绕了颈总动脉、向上达到下颌，向下蔓延进入了胸腔，向后侵蚀了肩部肌肉和神经。田先生右手臂无法抬起就是由于肿块压迫臂丛神经所致。

CT检查也显示,Tian right great thyroid tumor tightly to eat live the trachea/Completely has the common carotid artery/Up to chin,Spread down into the thoracic cavity,Eroded the back shoulder muscles and nerves.Tian right arm cannot lift is due to lump brachial plexus nerve compression.

　　虽然田先生的病症表现为颈部肿块，但手术却并非切除肿块那么简单。院方透露，要切除肿瘤必须先劈开胸骨、切开肋骨，同时在切除肿瘤、做完常规的淋巴清扫后还需要重建血管和皮肤，单一科室无法完成。整个手术的范围、创伤较大、涉及科室众多，细节考虑稍有欠缺便会导致失败。

虽然田先生的病症表现为颈部肿块,But it is not as simple resection of the mass operation.The hospital said,To resect tumor must split the sternum/Cut the ribs,At the same time在切除肿瘤/After finish routine lymph cleaning the reconstruction of blood vessels and skin is needed,A single department was unable to complete.The whole operation range/Trauma is larger/Involve many department,Consider a slight lack of details will result in failure.

　　樊友本邀请了相关科室的多名专家联合为田先生共同开展手术。手术中，心胸外科专家劈开胸骨、切开肋骨后，樊友本等医生将约10×12公分大的巨大肿瘤整块移除；切除肿块后的血管缺损则由血管外科专家修补，并置入了约6公分长的人工血管连接颈动脉两端；鉴于颈部缺损处需要取带肌肉的皮瓣进行修复，整形外科专家又上台取了约26×15公分背阔肌皮瓣带蒂，并在大腿外侧处取用相同区域的皮肤进行了修补。

樊友本邀请了相关科室的多名专家联合为田先生共同开展手术.In the operation,Cardiothoracic surgery experts split sternum/After cut the ribs,FanYou this etc. The doctor will be about 10 x 12 cm tumor removed;Resection of the tumor blood vessel defect is repaired by vascular surgery expert,About 6 cm long and inserting artificial blood vessels are connected on both ends of the carotid artery;In view of the neck defect need to pick up with muscle flap for repair,Plastic surgery expert power will take about 26 x 15 cm wide myocutaneous flap pedicle,And in the outer thighs access to repair the skin of the same area.

　　据介绍，术后田先生没有出现感染症状，恢复良好。

据介绍,Tian without symptoms of infection after surgery,Good recovery.

　　樊友本在接受采访时表示，手术成功地切除了患者的癌肿、提升了其生活品质，为后续的放疗及同位素的治疗争取了宝贵的时间。据知，该院在多学科协作治疗甲状腺肿瘤方面已探索出独创方式，治愈过多例巨大甲状腺肿患者。

樊友本在接受采访时表示,Operation successfully removed the tumor patients/Improved the quality of life,For subsequent radiotherapy and isotope for the precious time.According to the known,The hospital in a multidisciplinary collaborative treatment of thyroid cancer has explore innovative ways,Cure too much cases of huge goiter patients.