Yoshida T, Bandoh T, Ninomiya K, Matsumoto T, Baatar D, Kitano S
First Department of Surgery, Oita Medical University, Japan.
Surg Today. 1998;28(11):1188-91. doi: 10.1007/s005950050311.
We report herein the case of a 48-year-old Japanese woman in whom a pancreatic insulinoma was successfully treated by laparoscopic enucleation. The patient presented after developing episodic neurohypoglycemic symptoms, and an insulinoma in the pancreatic tail, 1.0 cm in diameter, was diagnosed by the results of biochemical and radiological examinations. A laparoscopic intraoperative ultrasonogram demonstrated a solitary hypoechogenic tumor in the pancreatic tail. After the tail and body of the pancreas with the spleen were mobilized, laparoscopic enucleation was performed without any complications. The total operative time was 225min and the estimated blood loss was 20 ml. Serial blood sugar measurements demonstrated a sharp rise in blood sugar levels at the time of enucleation. The patient's postoperative course was uneventful, and she was discharged on the seventh postoperative day. She has remained well for 33 months following surgery without any hypoglycemic symptoms.
我们在此报告一例48岁日本女性患者，其胰腺胰岛素瘤通过腹腔镜摘除术成功治愈。该患者出现发作性低血糖症状后前来就诊，生化及影像学检查结果诊断为胰尾部直径1.0 cm的胰岛素瘤。腹腔镜术中超声显示胰尾部有一个孤立的低回声肿瘤。在游离胰尾、胰体及脾脏后，进行了腹腔镜摘除术，未出现任何并发症。总手术时间为225分钟，估计失血量为20毫升。连续血糖测量显示摘除肿瘤时血糖水平急剧上升。患者术后恢复顺利，术后第七天出院。术后33个月来她一直状况良好，未出现任何低血糖症状。
