David Gutierrez Blanco, MD1, Lisandro Montorfano, MD1, Lisandro Alle, MD2, Gonzalo Carles, MD2, Fernando Dip, MD1, Luis Sarroto, MD2, Emanuele Lo Menzo, MD1,Raul Rosenthal, MD1. 1Cleveland Clinic Florida, 2Hospital de Clinica Jose de San Martin
This video demonstrates the use of near-infrared fluorescent light in the localization of insulinoma.
This is a 65-year-old man that came to the clinic presenting chills, tachycardia, and diaphoresis. Fasting glucose was found low 48mg/dL and insulin levels at 35.35 uU/mL. Endoscopic ultrasound, CT, and MRI were performed and an Insulinoma was discovered. A minimally invasive approach was performed, Laparoscopic intraoperative ultrasound was used to scan the surface of the pancreas to localize the insulinoma. Afterwards, with the use of near-infrared fluorescence, the insulinoma was localized within the pancreas and the margins were clearly defined. The resection was done in a conventional way. The patient had an excellent recovery with no complications.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87375
Program Number: V045
Presentation Session: Solid Organ Videos Session
Presentation Type: Video