Bratusch-Marrain P, Czembirek H, Helmer F, Waldhäusl W
Wien Klin Wochenschr. 1977 Sep 16;89(17):386-90.
Surgical intervention in organic hyperinsulinism is based on prior accurate biochemical assessment. The emergent problems are discussed in a case with hypoglycaemic attacks, where "blind" pancreatic resections had been performed in two occasions without success. Finally, after demonstration of hyperinsulinaemia and localization of the tumour by selective angiography an adenoma was removed surgically. The postoperative complications, including the development of insulin-dependent diabetes, demonstrate the inherent risks of blind distal pancreatectomy for suspected insulinoma.
器质性高胰岛素血症的手术干预基于先前准确的生化评估。本文在一个有低血糖发作的病例中讨论了一些紧急问题，该病例曾两次进行“盲目”胰腺切除术但均未成功。最后，在通过选择性血管造影证实高胰岛素血症并定位肿瘤后，手术切除了腺瘤。术后并发症，包括胰岛素依赖型糖尿病的发生，证明了对疑似胰岛素瘤进行盲目远端胰腺切除术存在的固有风险。
