通过腹腔镜下胰腺胃下检查及接触式超声对胰岛素瘤进行定位

Localization of insulinoma by laparoscopic infragastric inspection of the pancreas and contact ultrasonography.

作者信息

Pietrabissa A, Shimi S M, Vander Velpen G, Cuschieri A

机构信息

Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, UK.

出版信息

Surg Oncol. 1993;2(1):83-6. doi: 10.1016/0960-7404(93)90048-4.

DOI:10.1016/0960-7404(93)90048-4

PMID:8252197

Abstract

A new technique for localizing pancreatic insulinoma is described. This consists of a laparoscopic examination of the body and tail of the pancreas through an infragastric approach combined with contact ultrasonography of the gland. Accurate localization of an occult insulinoma in the body of the pancreas was achieved in one patient with the technique described. Laparoscopic contact ultrasonography of the pancreas by the infragastric approach should be as reliable as open intraoperative ultrasonography and constitutes the first step in the laparoscopic treatment of insulinoma.

摘要

本文描述了一种用于定位胰腺胰岛素瘤的新技术。该技术包括通过胃下途径对胰腺体尾部进行腹腔镜检查，并结合对胰腺的接触式超声检查。利用所述技术，一名胰腺体部隐匿性胰岛素瘤患者实现了准确的定位。通过胃下途径对胰腺进行腹腔镜接触式超声检查应与开放手术中的术中超声检查一样可靠，并且是胰岛素瘤腹腔镜治疗的第一步。