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Laparoscopic spleen-preserving distal pancreatectomy for insulinoma: experience of a single center.
Int J Surg. 2014; 12 Suppl 1:S152-5.IJ

Abstract

BACKGROUND

Laparoscopic spleen-preserving distal pancreatectomy is gaining acceptance for the treatment of insulinomas of the pancreatic body and tail. The aim of this report is to evaluate the feasibility, safety and outcomes of this procedure in a retrospective series.

METHODS

From May 2004 to November 2013, 9 patients underwent laparoscopic spleen-preserving distal pancreatectomy for benign insulinomas in our department. Tumors were single and sporadic in eight patients, while the remaining patient had insulinomas in the setting of multiple endocrine neoplasia type 1. Tumors were located by preoperative imaging in all cases. Laparoscopic ultrasound was always performed to guide the surgical procedure.

RESULTS

All the operations were carried out laparoscopically with a mean operative time of 110 min (range 90-210 min) and a mean blood loss of 50 ml (range 30-120 ml). One patient (11.1%) died on the 22nd post-operative day for massive intra-abdominal bleeding associated with pancreatitis of the stump. Two patients (22.2%) developed pancreatic fistula that healed conservatively. Mean postoperative hospital stay was 7.1 days (range 5-18 days). All alive patients were free from recurrence after a mean follow-up of 45 months (range 11-72 months).

CONCLUSION

Laparoscopic spleen-preserving distal pancreatectomy is safe and feasible for the management of benign insulinomas. Definition of the tumor with preoperative imaging and laparoscopic ultrasound is essential to achieve high cure rate with minimal conversion.

Authors+Show Affiliations

Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131 Naples, NA, Italy.Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131 Naples, NA, Italy.Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131 Naples, NA, Italy.Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131 Naples, NA, Italy.Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131 Naples, NA, Italy.Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131 Naples, NA, Italy. Electronic address: Francesco.corcione@ospedalideicolli.it.

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

24862672

Citation

Sciuto, Antonio, et al. "Laparoscopic Spleen-preserving Distal Pancreatectomy for Insulinoma: Experience of a Single Center." International Journal of Surgery (London, England), vol. 12 Suppl 1, 2014, pp. S152-5.
Sciuto A, Abete R, Reggio S, et al. Laparoscopic spleen-preserving distal pancreatectomy for insulinoma: experience of a single center. Int J Surg. 2014;12 Suppl 1:S152-5.
Sciuto, A., Abete, R., Reggio, S., Pirozzi, F., Settembre, A., & Corcione, F. (2014). Laparoscopic spleen-preserving distal pancreatectomy for insulinoma: experience of a single center. International Journal of Surgery (London, England), 12 Suppl 1, S152-5. https://doi.org/10.1016/j.ijsu.2014.05.023
Sciuto A, et al. Laparoscopic Spleen-preserving Distal Pancreatectomy for Insulinoma: Experience of a Single Center. Int J Surg. 2014;12 Suppl 1:S152-5. PubMed PMID: 24862672.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic spleen-preserving distal pancreatectomy for insulinoma: experience of a single center. AU - Sciuto,Antonio, AU - Abete,Roberta, AU - Reggio,Stefano, AU - Pirozzi,Felice, AU - Settembre,Anna, AU - Corcione,Francesco, Y1 - 2014/05/23/ PY - 2014/03/23/received PY - 2014/05/03/accepted PY - 2014/5/28/entrez PY - 2014/5/28/pubmed PY - 2015/7/23/medline KW - Insulinoma KW - Laparoscopic distal pancreatectomy KW - Laparoscopic ultrasound KW - Pancreatic benign tumors KW - Spleen-preserving SP - S152 EP - 5 JF - International journal of surgery (London, England) JO - Int J Surg VL - 12 Suppl 1 N2 - BACKGROUND: Laparoscopic spleen-preserving distal pancreatectomy is gaining acceptance for the treatment of insulinomas of the pancreatic body and tail. The aim of this report is to evaluate the feasibility, safety and outcomes of this procedure in a retrospective series. METHODS: From May 2004 to November 2013, 9 patients underwent laparoscopic spleen-preserving distal pancreatectomy for benign insulinomas in our department. Tumors were single and sporadic in eight patients, while the remaining patient had insulinomas in the setting of multiple endocrine neoplasia type 1. Tumors were located by preoperative imaging in all cases. Laparoscopic ultrasound was always performed to guide the surgical procedure. RESULTS: All the operations were carried out laparoscopically with a mean operative time of 110 min (range 90-210 min) and a mean blood loss of 50 ml (range 30-120 ml). One patient (11.1%) died on the 22nd post-operative day for massive intra-abdominal bleeding associated with pancreatitis of the stump. Two patients (22.2%) developed pancreatic fistula that healed conservatively. Mean postoperative hospital stay was 7.1 days (range 5-18 days). All alive patients were free from recurrence after a mean follow-up of 45 months (range 11-72 months). CONCLUSION: Laparoscopic spleen-preserving distal pancreatectomy is safe and feasible for the management of benign insulinomas. Definition of the tumor with preoperative imaging and laparoscopic ultrasound is essential to achieve high cure rate with minimal conversion. SN - 1743-9159 UR - https://www.unboundmedicine.com/medline/citation/24862672/Laparoscopic_spleen_preserving_distal_pancreatectomy_for_insulinoma:_experience_of_a_single_center_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-9191(14)00122-8 DB - PRIME DP - Unbound Medicine ER -