Intraoperation localization of occult insulinoma by using step by step occlusion of the pancrease
10.3760/cma.j.issn.1674-6090.2015.06.009
- VernacularTitle:胰腺分段血运阻断技术在隐匿性胰岛细胞瘤术中定位的临床研究
- Author:
Jian WANG
;
Hui ZHANG
;
Min XIE
;
Shanhua BAO
- Publication Type:Journal Article
- Keywords:
Step-by-step occlusion of the pancreas;
Insulinoma;
Occult;
Localization
- From:
Chinese Journal of Endocrine Surgery
2015;(6):473-475,479
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical efficacy and safety of intraoperative localization of occult insu -linoma by using step-by-step occlusion of the pancreas .Methods 22 cases of occult insulinoma patients admit-ted from Mar.2003 to May 2013 were given intraoperative localization by adopting the technology of step -by-step occlusion of the pancreas .Results All the 22 patients were successfully completed the segmental resection of pancreas.The average operation time was(120 ±50)min, and the average intraoperative blood loss was (100 ± 80)ml.No blood transfusion was needed.Blood glucose rose rapidly when insulinoma was located within the scope of occlusion, blood glucose remained unchanged when insulinoma was beyond the scope of occlusion ,and blood glucose dropped swiftly when insulinoma was on the point of occlusion .Two patients had postoperative short-term pancreatic fistula and they were cured by conservative treatment .No other complications occurred .The average hospitalization time was(12 ±5)d.The result was good during the followed up of 8 to 24 months.Con-clusion The technique of step-by-step occlusion of the pancreas for localization of occult insulinoma is effective supplement for conventional methods , worthy of promotion .
