Surgical Treatment for Insulinoma: a Study of 6 Cases

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Title ( eng )
Surgical Treatment for Insulinoma: a Study of 6 Cases
Creator
ICHIBA Yasuyuki
TANAKA Tsuneo
KODAMA Osamu
MATSUYAMA Toshiya
NISHIKI Masayuki
DOHI Kiyohiko
EZAKI Haruo
Source Title
Hiroshima Journal of Medical Sciences
Volume 34
Issue 2
Start Page 247
End Page 252
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
The authors treated six patients with insulinoma in our department during a period up to 1984, and performed seven operations including one re-operation. In this paper, the results of our study of the clinical symptoms, diagnosis and surgical formula in these cases are presented. Selective angiography and percutaneous transhepatic portal venous sampling (PTPVS) proved useful for pre-operative tumor localization diagnosis. Blood glucose monitoring during operation became a good index for the selection of the surgical formula. In the cases of surfacial and single tumors, enucleation alone was able to obtain satisfactory surgical results. In the cases, however, when re-operative, deep or multiple tumors were suspected, staged distal pancreatectomy under blood glucose monitoring was considered to be indicated. It was therefore thought that the preservation of the pancreas should be made as far as possible.
Keywords
Insulinoma
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University School of Medicine
Date of Issued 1985-06
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312
[PMID] 2993201