Laparoscopic management of insulinomas

• DOI: 10.1002/bjs.6465
• Publication Date: 2009-01-21T12:01:16Z
• Authors: A Isla; J D Arbuckle; P B Kekis; A Lim; J E Jackson; J F Todd; J Lynn
• Keywords: Pancreatic fistula; Open surgery

Abstract Background Conventional surgical management of insulinomas involves an open technique. The laparoscopic approach has advantages in terms improved postoperative pain and recovery time. This retrospective study evaluated the pancreatic insulinomas. Methods Between December 2000 March 2007, 23 patients were referred for consideration insulinoma resection. Two not deemed appropriate managed with surgery. All surgery was performed by one experienced surgeon. Laparoscopic intraoperative ultrasonography available first six procedures, but used thereafter. Results Twenty-one (five men 16 women, median age 46 (range 22–70) years) had a successful single tumours, five head, nine body seven tail pancreas. One conversion to operation patient head pancreas who dense adhesions resulting from pancreatitis. Three developed fistula. There been no recurrence symptoms any patient. Conclusion is feasible safe. promising adjunct procedure, even after accurate preoperative localization.