MODERN TECHNOLOGIES IN DIAGNOSIS AND SURGICAL TREATMENT OF PANCREATIC INSULINOMAS

Aim. To assess possibilities of modern technologies in surgical treatment of pancreatic  insulinomas.

Material and Methods. 21 operations  for pancreatic  insulinoma  were performed.    Laparoscopic  and robot-assistant operations were applied in 10 and 11 cases respectively. 6 patients required conversion to laparotomy because of failure to determine insulinoma and need for manual palpation.

Results. There  were no  intraoperative   complications. Postoperative  mortality  was 0%.  The  most  of postoperative complications  were observed in patients after conversion to laparotomy.  Incidence  of complications  was minimal after robot-assistant  operations. Minimally invasive technologies were also successfully applied to treat complications.

Conclusion. Endovideosurgical  operations  are  advisable in  patients  with  insulinomas  of pancreatic  body  and  tail. Intraoperative ultrasound  minimizes  number  of conversion  to laparotomy.  Robot-assistant operations  are associated with minimal complications and duration of postoperative hospital-stay. Minimally invasive technologies are successfully applied in treatment of postoperative complications.

pancreas, insulinoma, enucleation, laparoscopic/robotic pancreatic resection

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