[Laparoscopic treatment of insulinoma: surgical technique and perisurgical results].
OBJECTIVE
Our experience with the laparoscopic treatment of pancreatic insulinomas is reported.


METHODS
Four patients with clinical and radiological diagnosis of insulinoma were treated between January 2000 and September 2005.


RESULTS
All the patients were laparoscopically approached to attempt the tumor enucleation. In three cases complete enucleation was possible; the remaining case was converted to perform the resection of the middle portion of the pancreas. One patient developed a pancreatic fistula that closed spontaneously. In all cases histological evaluation of the tumor showed benign islet cell tumor. Blood glucose levels returned to normality.


CONCLUSIONS
Laparoscopic enucleation of pancreatic insulinoma is a feasible and safe technique.
Berrospi Espinoza
Francisco
F
Departamento de Abdomen, Instituto Especializado de Enfermedades Neoplásicas.
Ruiz Figueroa
Eloy
E
Chavez Passiuri
Iván
I
Celis Zapata
Juan
J
D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D010190:Pancreatic Neoplasms / Q000601:surgery*