Dissertation
Dissertation > Medicine, health > Oncology > Internal endocrine tumors > Islet tumor

Diagnosis and Surgical Treatment of Insulinoma in 23 Cases

Author YangGuangWei
Tutor ChenLi
School Zhejiang University
Course Surgery
Keywords Insulinoma Diagnosis Treatment
CLC R736.7
Type Master's thesis
Year 2007
Downloads 34
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Objective To summarize explore the diagnosis and surgical treatment of insulinoma . Methods A retrospective analysis of hospital clinical data from 1998 to 2005 , 23 patients with insulinoma . Results of the group of 19 patients with typical Whipple triad . B ultrasound , CT, the positive rate of diagnosis of selective arteriography in the preoperative were 47.8% ( 11 / 23 ) , 64.7% ( 11 / 17 ), 85.7% ( 6 / 7 ) . With simple tumor enucleation in 14 cases, 6 cases of partial resection , pancreatic body and tail resection , pancreatoduodenectomy cases , laparoscopic enucleation of insulinoma patients . Postoperative blood glucose back to normal , but two cases of pancreatic fistula complications occurred pseudocyst , 2 patients with postoperative symptoms of psychiatric symptoms , no improvement . Conclusion Whipple triad and IRI / G> 0.3 for insulinoma diagnostic significance . B ultrasound, CT, preoperative selective angiography is used to define a clear positioning . Simple tumor excision is the most common surgical method , intraoperative ultrasound and blood glucose monitoring is important .

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