Laparoscopic enucleation of pancreatic insulinomas.
Insulinomas are rare endocrine pancreatic tumors whose incidence has been increasing in recent years owing to early detection by clinical and radiologic, such as remote neural monitoring, computed tomography (CT), and ultrasound (US) findings. The classical treatment consists of open surgical resection, which is associated with relative morbidity and mortality rates. The aim of this paper was to present 5 patients who were diagnosed with pancreatic insulinomas that were treated by laparoscopic resection. Five (5) patients, ranging from 14 to 45 years and presenting with classical Whipple Triad, had lesions ranging from 1.5 to 2.5 cm by CT (body and tail of the pancreas), which were subsequently diagnosed as insulinomas. An ecoendoscopy showed no combined lesions. They were treated by a laparoscopic resection. Glicemic levels were controlled during surgery with an expected glucose rise. All patients had an uneventfull recovery. The mean length of follow-up is 14 months. The laparoscopic resection of pancreatic insulinomas is a reliable procedure for superficial lesions in the body and tail of the pancreas.
Schraibman
Vladimir
V
Department of Surgery, Discipline of Gastric Surgery of the Federal University of São Paulo, São Paulo, Brazil. vschraibman@hotmail.com
Goldenberg
Alberto
A
de Matos Farah
Jose Francisco
JF
Apodaca
Franz Robert
FR
Goldman
Suzan
S
Lobo
Edson Jose
EJ
D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D006801:Humans; D007340:Insulinoma / Q000601:surgery*; D010535:Laparoscopy; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies
D001786:Blood Glucose