Application of laparoscopic distal pancreatectomy for treatment of insulinoma
10.3760/cma.j.issn.1674-6090.2017.03.004
- VernacularTitle:腹腔镜胰腺远端切除术在胰岛素瘤治疗中的应用
- Author:
Jingshi ZHOU
;
Hengchao YU
;
Zhengcai LIU
;
Qingqiang WANG
;
Yong HE
;
Yanling YANG
;
Haimin LI
- Keywords:
Insulinoma;
Laparoscopic distal pancreatectomy;
Minimally invasive surgery;
Spleen preservation
- From:
Chinese Journal of Endocrine Surgery
2017;11(3):188-191
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of laparoscopic distal pancreatectomy in treatment of insulinoma.Methods Clinical data of 8 cases of insulinoma treated by laparoscopic distal pancreatectomy from Apr.2015 to Apr.2017 were retrospectively reviewed.Results Locations of the insulinoma in distal pancreas were all identified preoperatively by enhanced CT,MRI or somatostatin receptor scintigraphy (SRS).Laparoscopic distal pancreatectomy was applied to 8 cases,including combined splenectomy to 1 case.The operation time,bleeding volume,and postoperative hospital stay was (159±44) min,(125±119) ml and (5.5±1.4) days,respectively.Grade B fistula happened to one patient after surgery.The level of postoperative blood glucoses was normal in all cases.Conclusion Laparoscopic distal panreatectomy is safe,effective,and less invasive in treating insulinoma,with quick recovery and high efficacy in spleen preservation.