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Old 03-10-2009, 02:08 PM   #1
guiseppewv
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Miracle surgery: Girl 'fantastic' after 6 organs removed, 3 replaced

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Heather McNamara, 7, was discharged from a New York hospital Tuesday after a daring, high-risk operation last month in which doctors removed six vital organs so they could take out a baseball-sized tumor that had invaded her abdomen and threatened her life.

The marathon Feb. 6 operation lasted 23 hours. It was the first of its kind in a child and the second in the world, said the lead surgeon, Tomoaki Kato. In effect, the young cancer patient was both the donor and recipient of her own organs.


LIVING WITH CANCER: Patients, survivors, loved ones share advice, questions
BETTER LIFE: Enter the surgical suite

At a press conference Tuesday Heather's parents thanked the hospital staff for giving them back their little girl. When asked if she was anxious to go home and sleep in her own bed, Heather turned to her parents and said "actually, I'm sleeping with you guys."

"She's doing fantastic," her father, Joseph McNamara, of Islip Terrace, Long Island, said in an interview Monday as the two played Old Maid in her room at New York-Presbyterian Morgan Stanley Children's Hospital, noting that she spent from 10:30 a.m. to noon in the hospital's school for pediatric patients.

FIND MORE STORIES IN: Long Island | South Florida | University of Miami | University of Pittsburgh | Angel | Heather | Stephanie | Pomeranian | Islip Terrace | Old Maid | Joseph McNamara
Kato's team removed and chilled the child's stomach, pancreas, spleen, liver and small and large intestines as they would for transplantation, so they could be restored after the tumor was taken out.

"This was a very high-risk procedure," Kato said. "It was a big responsibility. I was very nervous."

The transplant specialist said the cancer had spread so widely that the girl's stomach, pancreas and spleen couldn't be saved. In place of her stomach, Kato's team fashioned a pouch from intestinal tissue to hold food before it moves into the small intestine for digestion. The loss of her pancreas turned the child into a diabetic who will need insulin injections and digestive enzymes. Without a spleen, she'll face a heightened risk of infection. She can eat ordinary food, supplemented for now by a pump worn in a school-style backpack.

Kato said the surgery was so risky that the girl's father, 46, was prepped to be a live organ donor in case surgeons couldn't salvage his daughter's liver.

Kareem Abu-Elmagd, a University of Pittsburgh transplant surgeon, said: "It was a gamble. I admire Kato for having the courage to do this."

Kato said the gamble took a toll on him, too.

"Afterwards, I was about to collapse," he said. "I slept for five or six hours on a couch."

Last year, at the University of Miami, Kato carried out the first such operation, on a 62-year-old South Florida woman, whom he said is doing well.

For her part, Heather said she's feeling fine and can't wait to get home. She's missing her sister, Stephanie, 10, and a Pomeranian named Angel.

"I love to play with my dog," she said.

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Wow, this little girl is one tough cookie! I could not imagine being that young and have to go through all that surgery and adversity.
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