title: Laparoscopic radiofrequency ablation of functioning pancreatic insulinoma:  video case report.
abstract: Insulinomas are the most common functioning endocrine tumors of the pancreas. Most of them are well-differentiated tumors, with benign or uncertain behavior at the time of diagnosis. Surgery is considered to be the only curative treatment modality. We present the first case report of a 75-year-old woman with functioning insulinoma of the pancreatic body, which was destroyed by laparoscopic-assisted radiofrequency ablation. Hypoglycemic paroxysms disappeared immediately after surgery. The postoperative course was uneventful. The patient was discharged on the eighth postoperative day. There was a new onset of diabetes mellitus, without any further hypoglycemic paroxysm from surgery to the present-4 months. Laparoscopic-assisted radiofrequency ablation is shown to be a feasible and safe method for the treatment of functioning pancreatic insulinoma.
authors.affiliation: Department of Surgery, Masaryk University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
authors.forename: Vladimír
authors.initials: V
authors.lastname: Procházka
authors.forename: Jan
authors.initials: J
authors.lastname: Hlavsa
authors.forename: Tomáš
authors.initials: T
authors.lastname: Andrašina
authors.forename: Karel
authors.initials: K
authors.lastname: Starý
authors.forename: Katarina
authors.initials: K
authors.lastname: Můčková
authors.forename: Zdeněk
authors.initials: Z
authors.lastname: Kala
authors.forename: Vlastimil
authors.initials: V
authors.lastname: Válek
mesh_terms: D000368:Aged; D017115:Catheter Ablation / Q000379:methods*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed