关键词: 胰岛素瘤, 腹腔镜, 超声

Abstract:

【Abstract】Objective To explore the feasibility and security of totally laparoscopic resection of insulinoma. Methods From January 2008 to september 2012, 13 cases of insulinoma which had laparoscopic resection were analyzed retrospectively. The main surgical technique was summarized. Results Thirteen cases of insulinomas were operated successfully guided by laparoscopic ultrasound. Amnong them, 7 cases underwent simple lumpectomy, 4 cases underwent resecton of body and tail of pancreas plus spleen and 2 cases underwent resection of body and tail of pancreas with spleen-preserving. Postoperative pancreatic leakage was found in 3 cases, which were cured by conservative treatment. The status of postoperative blood sugar was stable. There were no severe infection and massive bleeding in the abdominal cavity after operation. No recurrence was found during follow-up period. Conclusioins Laparoscopic resection of insulinoma is safe,minimally invasive and feasible. Combined with laparoscopic and intraoperative ultrasound, it would contribute to correct localization of insulinoma and choose a suitable surgical procedure.

Key words: Insulinoma, Laparoscopy, Ultrasound