Giovanardi Rafael Omar, Giovanardi Henrique João, Fontana César Augusto, Kuhn Fernando, Kalil Antonio Nocchi
Department of Surgery, Faculty of Medicine, Fundação Universidade de Caxias do Sul, RS, Brazil.
Hepatogastroenterology. 2005 Jan-Feb;52(61):261-3.
We report on a successful laparoscopic distal pancreatectomy due to insulinoma, preserving the spleen and the splenic vessels in a 29-year-old male patient who presented with repeated syncope due to hypoglycemia. The ultrasound exam did not show the pancreatic lesion; it was only the angiotomography of the pancreas that revealed a 3-cm mass located at the transition from the body to the tail of the pancreas. The laparoscopic distal pancreatectomy was performed using a harmonic scalpel (Ethicon EndoSurgery/UltraCision), without mechanical suturing. There were no intra- or postoperative complications or hypoglycemias during the 6 months of follow-up. When it is performed by experienced laparoscopic surgeons, this is a technically feasible procedure, safe for the treatment of benign lesions of the pancreas body and tail.
我们报告了一例因胰岛素瘤行腹腔镜远端胰腺切除术的成功案例，该手术保留了脾脏和脾血管，患者为一名29岁男性，因低血糖反复晕厥。超声检查未显示胰腺病变；仅胰腺血管造影显示在胰腺体尾部交界处有一个3厘米的肿块。使用超声刀（爱惜康内镜外科/超声切割止血刀）进行腹腔镜远端胰腺切除术，未进行机械缝合。随访6个月期间未出现术中或术后并发症及低血糖情况。由经验丰富的腹腔镜外科医生进行该手术时，这是一种技术上可行的手术，对治疗胰腺体尾部良性病变是安全的。
