This video illustrates our laparoscopic technique for removal of an insulinoma in the tail of the pancreas. Because of the distal location of the lesion in the tail of the pancreas, distal pancreatectomy with splenectomy was required. The video also shows how bleeding from a splenic vessel was controlled laparoscopically. A hand port was required for identification of the tumor by palpation in conjunction with intraoperative ultrasound. Pathology showed an 8mm neuroendocrine tumor in the distal pancreas with negative margins. All symptoms of hypoglycemia resolved completely postoperatively and biochemical evaluation showed normalization of insulin and glucose levels.
Session: Podium Video Presentation
Program Number: V040