Insulinoma is a functioning endocrine neoplasm appearing primarily in the tail and body of the pancreas, although it is also rarely found in the uncinate process. The sole treatment for insulinoma is surgical resection. However, for insulinoma in the uncinate process, traditional laparoscopic surgery is controversial owing to the fact that it is a complex operation and carries a high surgical risk. Herein, we report a novel approach to complete the exposure of uncinate process and tumor resections starting from the root of the mesentery.
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References
1.
ServiceFJ, McMahonMM, O'BrienPC, et al.Function insulinoma: Incidence, recurrence, and long term survival of patients: A 660 year study. Mayo Clin Proc, 1991; 66:711–719.
2.
ZhaoY, WangX, YangB, et al.Pancreatic insulinomas: Experience in 220 patients. Chin J Surg, 2000; 38:10–13.
3.
IiharaM, KanbeM, OkamotoT. Laparoscopic ultrasonography for resection of insulinomas. Surgery, 2001; 130:1086–1091.
4.
GagnerM, PompA. Laparoscopic pancreatic resection: Is it worthwhile?. J Gastrointest Surg, 1997; 1:20–25.
5.
LiuH, PengC, ZhangS. Strategy for the surgical management of insulinomas: Analysis of 52 cases. Dig Surg, 2007; 24:463–470.
6.
PierceRA, SpitlerJA, HawkinsWG. Outcomes analysis of laparoscopic resection of pancreatic neoplasms. Surg Endosc, 2007; 21:579–586.
7.
Hu ming gen, Liu rong, Zhao guo dong, et al.Laparoscopic resection for proximal pancreatic insulinoma. J Laparosc Surg, 2010; 15:338–340.
8.
Zhang tai ping, Xu jian wei. Strategy of surgical treatment of pancreatic endocrine tumors. J Clin Surg, 2010; 30:751–753.
9.
Dai meng hua, Zhao yu pei, Liao quan, et al.Surgical treatment of pancreatic insulinoma by laparoscopy. Chin J Surg, 2006; 44:165–168.
10.
Hu San-yuan, Wang yan lei, Zhi xu ting, Wang Lei. Clinical application of laparoscopy in treatment of pancreatic disease. Chin J Bases Clin General Surg, 2007; 14:516–520.
11.
Lin jie, Zeng zhong, Duan jian, et al.Localization and treatment of functional insulinoma of the pancreatic uncinated process. Chin J Dig Surg, 2010; 9:389–391.
12.
Bie ping, Fan yu dong, Wang xiao bin, et al.Local excision in the treatment of pancreatic head and hook huge islet cell tumor in 1 case. J Rare Uncommon Dis, 2004; 11:37.
13.
MironA, CaluV, et al.Laparoscopically treated pancreatic insulinoma. Case report. J Med Life, 2010; 3:186–190.
14.
Liu rong, Hu ming gen, Luo ying, et al.Laparoscopic resection of pancreatic islet cell tumors. Chin J Surg, 2008; 46:1768–1770.
15.
ZeigerM, ShawkerT, NortonJ. Use of intraoperative ultrasonography to localize islet cell tumors. World J Surg, 1993; 17:449–454.
16.
JohnT, GardenO. Laparoscopic ultrasonography: Extending the scope of diagnostic laparoscopy. Br J Surg, 1994; 81:5–6.
17.
An li chun, Luo yu kun, Lv fa qin, et al.Laparoscopic ultrasonography localization during laparoscopic surgical resection of lnsulinoma. Chin J Med Imaging, 2012; 20:43–46.
