Diagnosis and surgical treatment of functional insulinomas: report of 132 cases

VernacularTitle:胰岛细胞瘤132例的诊断与外科治疗
Author: Jiongdi LUAN ; Ying LI ; Wenzhi ZHANG ; Jianjun LENG ; Yongliang CHEN
Publication Type:Journal Article
Keywords: Adenoma,islet cell; Imaging examination; Laparoscopes; Surgical procedures,operative
From: International Journal of Surgery 2014;41(6):390-393,封3
CountryChina
Language:Chinese
Abstract: Objective To investigate the diagnosis and surgical treatment of functional insulinomas.Methods One hundred and thirty two patients from January 2002 to May 2013 were retrospectively reviewed who was confirmed as functional insulinomas by pathology.Results There were 43 males and 89 females.56 cases were located in the head of pancreas,76 body and tail of pancreas.69 patients underwent open enucleation,48 patients had Laparoscopic surgery,5 patients underwent distal pancreatectomy,9 patients had Laparoscopic distal pancreatectomy,1 patients had pancreaticoduodenectomy.The difference of variant imaging examination in Checking insulinomas was statistical significant(P ＜0.01).Laparoscopic treatment of insulinomas was at least as safe as open treatment.Conclusions Imaging examination could improve the accuracy of preoperative diagnosis of insulinomas.Surgery was the most effective methods to cure insulinomas and Laparoscopic surgery was becoming increasingly popular in treating insulinomas.