caa a22 4500 46794749X CHVBK 20180405193738.0 cr unu---uuuuu 170328e20041101xx s 000 0 eng 10.1007/s00464-004-6016-4 doi (NATIONALLICENCE)springer-10.1007/s00464-004-6016-4 (NATIONALLICENCE)springer-10.1007/BF02637144 Laparoscopic enucleation of a pancreatic insulinoma [Elektronische Daten] [G. Dakin, W. Inabnet] Insulinoma is the most common functional neuroendocrine tumor of the pancreas [2]. In most cases the lesions are benign, solitary, and located within the pancreatic parenchyma. Because of these characteristics, the majority of these lesions can be treated with simple enucleation [2]. Advances in laparoscopic techniques have recently enabled the safe resection of pancreatic islet cell tumors [1] and may provide patients with the benefits of minimally invasive surgery. This video demonstrates the technique of laparoscopic enucleation of a pancreatic insulinoma. The case presentation is that of a 40-year-old man who had symptoms of neuroglycopenia and was found to have elevated proinsulin levels during a 72-hour fast. Further evaluation included a CT scan, which revealed a 1.5cm lesion on the posterior surface of the midbody of the pancreas. The video shows the operative technique of enucleation of the lesion, including positioning and trocar placement, performance of intraoperative ultrasound for tumor localization, and the use of specialized instruments (laparoscopic freer-elevator with a spatulated tip) that allowed enucleation of the lesion without excess handling of the tumor itself. The operation was performed in 105 minutes with minimal blood loss. The patient was fed clear liquid diet on the day after surgery and was discharged home on the third postoperative day. He had an uneventful recovery and has experienced no further symptoms. Springer-Verlag, 2004 Laparoscopy nationallicence Enucleation nationallicence Pancreas nationallicence Insulinoma nationallicence Endocrine tumor nationallicence Dakin G. Department of Surgery, Mount Sinai School of Medicine, New York, NY, USA aut Inabnet W. Department of Surgery, Columbia Presbyterian Hospital, New York, NY, USA aut Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1680-1680 0930-2794 18:11<1680 2004 18 464 https://doi.org/10.1007/s00464-004-6016-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00464-004-6016-4 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1680-1680 0930-2794 18:11<1680 2004 18 464 NATIONALLICENCE 700 1- Dakin G. Department of Surgery, Mount Sinai School of Medicine, New York, NY, USA aut NATIONALLICENCE 700 1- Inabnet W. Department of Surgery, Columbia Presbyterian Hospital, New York, NY, USA aut NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02637144 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1680-1680 0930-2794 18:11<1680 2004 18 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE NATIONALLICENCE NL-springer