Single Center Experience of Laparoscopic Theraphy for Insulinoma

Yu Wenbin, MD, PhD, Hu Sanyuan, MD, PhD, Zhang Guangyong, Zhan Hanxiang, Liu Shaozhuang, Wang Xiaoyang

Department of general surgery,Qilu hospital of Shandong University

OBJECTIVE To investigate the feasibility and safety for laparoscopic therapy to insulinoma.

METHODS Retrospectively analyzed twenty-one insulinoma patients (8 men and 13 women; mean age, 47 years) who underwent laparoscopic therapy from June, 2004 to October, 2011. Tumor position located at pancreatic body and tail in 11 patients; at neck in 2 patients; at head and uncinate in one patient respectively.

RESULTS Insulinoma location were confirmed preoperatively in insulinoma patients and accepted laparoscopic therapy (13 patients underwent laparoscopic enucleation of the insulinoma, 4 patients underwent laparoscopic distal pancreatectomy, one patient accepted hand assisted laparoscopic uncinate insulinoma resection, 3 patients converted to laparotomy). At follow-up (range, 10-88 months), local recurrence and recurrent hypoglycemia were not found.

CONCLUSIONS When insulinoma diagnosis confirmed, localization could be made cooperatively by several relative examinations. Laparoscopic ultrasonic examination could help locate the tumor position. Successful localization was helpful for laparoscopic procedure. Laparoscopic resection is a feasible and safe therapeutic method for insulinoma. It may decrease the postoperative pain of the patient and the length of recovery and hospitalization while get the same therapeutic effects and better cosmetic results.

Session: Poster Presentation

Program Number: P336

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