Laparoskopická diagnostika a léčba organického hyperinzulinismu – naše první zkušenosti

Laparoscopic Diagnostic and Treatment of Organic Hyperinsulinism – Our First Experience

Laparoscopic pancreatic procedures are still at the stage of evaluation with regard to their indications and the technical variation used. Laparoscopic pancreatic surgery is currently used for staging malignant pancreatic tumours, for the resection of benign pancreatic tumours and for the occasional management of inflammatory disorders of the pancreas. Insulinomas are rare tumours with incidence per year of 0.1–0.4 per 100 000. I^st Surgical clinic, III^rd Internal clinic and Radiological clinic are cooperating since 1971. On the list of III^rd Internal clinic are 80 patients with insulinoma. Since 1971 at I^st Surgical Clinic 66 patients have been operated. In our article are diagnostic and therapeutic problems discussed. Laparoscopic pancreatic procedures are still at an evaluation stage regard to their indications and techniques. Authors give report about first experience with successful laparoscopic enucleation of insulinoma in case 83 year old woman (Fig. 3, 4). The operative time was 90 min. Drainage is necessary. CT guided drain in cavity of seroma is shown (Fig. 5)

Key words:
endocrine pancreatis tumors – insulinoma – insulinomas diagnosis – laparoscopic distal pancreatectomy – laparoscopic enucleation