Efficacy of laparoscopic ultrasonography in laparoscopic resection of insulinoma
| Autor: | Feng Gao, Mengwei Wu, Huaitao Wang, Xiaodong Tan, Xiaobo Zhang, Boqiang Yu, Peng Liu, Huanbing Qiu, Guan-Long Huang |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Laparoscopic surgery
endocrine system medicine.medical_specialty Complications endocrine system diseases medicine.medical_treatment laparoscopic ultrasonography Review Article insulinoma Palpation 03 medical and health sciences 0302 clinical medicine medicine Laparoscopic ultrasonography Pancreatic structure Radiology Nuclear Medicine and imaging Laparoscopic resection pancreas Insulinoma Hepatology Tumor size medicine.diagnostic_test business.industry General surgery Gastroenterology medicine.disease laparoscopic surgery medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Radiology Pancreas business |
| Zdroj: | Endoscopic Ultrasound |
| ISSN: | 2303-9027 |
| Popis: | Insulinoma is the most common functioning islet cell tumor of the pancreas, with an annual incidence of 4 cases/1 million individuals. It is treated by surgical methods. Open surgery was once considered the standard approach for the treatment of insulinoma. However, the procedure is traumatic and requires a large incision, which does not satisfy the growing expectations of minimally invasive management of small-sized tumors. Insulinomas are usually benign solitary tumors and mostly occur sporadically, which makes them suitable candidates for laparoscopic management. The potential advantages of laparoscopic management of insulinoma over open surgery include shorter duration of hospitalization, quicker recovery, and better cosmetic effect. However, because of the small tumor size as well as the depth and uncertainty of the location of the tumor, laparoscopic localization of the lesion without tactile sensation is difficult. Laparoscopic ultrasonography can detect about 90% of insulinomas, and its sensitivity is comparable to that of manual palpation along with intraoperative ultrasonography during open surgery; thus, it ensures the feasibility of laparoscopic management of insulinoma and reinforces its advantage as a minimally invasive procedure. Laparoscopic ultrasonography is vital for the localization of insulinomas and characterization of the surrounding pancreatic structure and should, therefore, be considered an integral part of the laparoscopic management of insulinoma. |
| Databáze: | OpenAIRE |
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