DEIR AL-BALAH, Gaza Strip >> Israel on Saturday carried out its largest hostage rescue operation since the latest war with Hamas began, taking four to safety out of central Gaza in a heavy air and ground assault. At least 210 Palestinians, including children, were killed, a Gaza health official said.

Israelis were jubilant as the army said it freed Noa Argamani, 26; Almog Meir Jan, 22; Andrey Kozlov, 27; and Shlomi Ziv, 41, in a daytime operation in the heart of Nuseirat, raiding two locations at once while under fire. All were well, the military said. They were taken by helicopter for medical checks and tearful reunions with loved ones after 246 days held.

Argamani had been one of the most widely recognized hostages after being taken, like the three others, from a music festival. The video of her abduction showed her seated between two men on a motorcycle as she screamed, “Don’t kill me!”

Her mother, Liora, has brain cancer and had released a video pleading to see her daughter. Israel’s Channel 13 said Argamani was moved to the hospital where her mother is treated. In a message released by the government, Argamani told Prime Minister Benjamin Netanyahu she was “very excited,” saying she hadn’t heard Hebrew in so long.

Netanyahu in a statement vowed to continue the fighting until all hostages are freed. The operation was “daring in nature, planned brilliantly, and executed in an extraordinary fashion,” Defense Minister Yoav Gallant said.

Israeli aircraft hummed overhead as the bodies of 109 Palestinians including 23 children and 11 women were taken to Al-Aqsa Martyrs Hospital, where spokesperson Khalil Degran told The Associated Press more than 100 wounded also arrived. He said that overall, 210 dead had been taken there and to Al-Awda Hospital, saying he had spoken to the director there. Al-Awda’s numbers couldn’t immediately be confirmed.

“The horrific massacre committed today by Netanyahu and his fascist government against the Palestinian people in Gaza, which led to slaughter of 210 and more than 400 wounded so far — under the pretext of liberating those detained by the resistance — confirms what the resistance has said repeatedly: that Netanyahu doesn’t plan to reach an agreement to stop the war and free the captured Israelis peacefully,” said Bassem Naim, a senior Hamas official now based in Lebanon.

A baby was among the dead. Small children wailed, covered in blood. Bodies were placed on the ground outside, their feet bare, as more wounded were rushed in.

“My two cousins were killed, and two other cousins were seriously injured. They did not commit any sin. They were sitting at home,” one relative said in the chaos.