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Insulinomas are generally benign tumors ideally suited to laparoscopic resection. Surgical management has changed over the years. Small benign tumors of the endocrine pancreas, including insulinomas, can be enucleated if their location is separate from the main pancreatic duct. Those over 2 cm and those close to the main pancreatic duct are generally treated by resection of the distal pancreas. Such a resection may be done as a spleen-preserving operation, or may include splenectomy. This chapter explores options in surgical treatment of a 2-cm insulinoma.

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References

  • Assalia A, Gagner M. Laparoscopic pancreatic surgery for islet cell tumors of the pancreas. World J Surg 2004;28:1239–1247.

    Article  PubMed  Google Scholar 

  • Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreaticoduodenectomy. Surg Endosc 1994;8:408–410.

    Article  CAS  PubMed  Google Scholar 

  • Mabrut JY, Fernandez-Cruz L, Azagra JS, et al. Hepatobiliary and Pancreatic Section (HBPS) of the Royal Belgian Society of Surgery, Belgian Group for Endoscopic Surgery (BGES), Club Coelio. Laparoscopic pancreatic resection: results of a multicenter European study of 127 patients. Surgery 2005;137:597–605.

    Article  PubMed  Google Scholar 

  • Velanovich V. Case-control comparison of laparoscopic versus open distal pancreatectomy. J Gastrointest Surg 2006;10:95–98.

    Article  PubMed  Google Scholar 

Suggested Readings

  • Ammori BJ, Baghdadi S. Minimally invasive pancreatic surgery—the new frontier? Curr Gastroenterol Rep 2006;8:132–142.

    Article  PubMed  Google Scholar 

  • Bilimoria MM, Cormier JN, Mun Y, et al. Pancreatic leak after left pancreatectomy is reduced following main pancreatic duct ligation. Br J Surg 2003;90:190–196.

    Article  CAS  PubMed  Google Scholar 

  • Ejstrud P, Kristensen B, Hansen JB, et al. Risk and patterns of bacteraemia after splenectomy: a population-based study. Scand J Infect Dis 2000;32:521–525.

    Article  CAS  PubMed  Google Scholar 

  • Leemans R, Manson W, Snijder JA, et al. Immune response capacity after human splenic autotransplantation: Restoration of response to individual pneumococcal vaccine subtypes. Ann Surg 1999;229:279–285.

    Article  CAS  PubMed  Google Scholar 

  • Montorsi M, Zago M, Mosca F, et al. Efficacy of octreotide in the prevention of pancreatic fistula after elective pancreatic resections: a prospective, controlled, randomized clinical trial. Surgery 1995;117:26–31.

    Article  CAS  PubMed  Google Scholar 

  • Ohwada S, Ogawa T, Tanahashi Y, et al. Fibrin glue sandwich prevents pancreatic fistula following distal pancreatectomy. World J Surg 1998;22:494–498.

    Article  CAS  PubMed  Google Scholar 

  • Park AE, Heniford BT. Therapeutic laparoscopy of the pancreas. Ann Surg 2002;236:149–158.

    Article  PubMed  Google Scholar 

  • Patterson EJ, Ganger M, Salky B, et al. Laparoscopic pancreatic resection: single institution experience of 19 cases. J Am Coll Surg 2001;193:281–287.

    Article  CAS  PubMed  Google Scholar 

  • Shoup M, Brennan MF, McWhite K, et al. The value of splenic preservation with distal pancreatectomy. Arch Surg 2002;137:164–168.

    Article  PubMed  Google Scholar 

  • Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg 1988;123:550–553.

    CAS  PubMed  Google Scholar 

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Scott-Conner, C.E.H., Ammori, B.J., Hazzan, D., Chin, E.H., Salky, B.A. (2008). Insulinoma of Tail of Pancreas. In: Scott-Conner, C.E.H. (eds) The SAGES Manual of Strategic Decision Making. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76671-3_32

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  • DOI: https://doi.org/10.1007/978-0-387-76671-3_32

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-76670-6

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