Concepedia

Publication | Closed Access

A Systematic Review of Localization, Surgical Treatment Options, and Outcome of Insulinoma

DOI

265

Citations

0

References

2014

Year

Arianeb Mehrabi, Lars Fischer, Mohammad Hafezi, A Dirlewanger, Lars Grenacher, Markus K. Diener, Hamidreza Fonouni, Camelia Garoussi, Nuh N. Rahbari, Jens Werner,
Pancreas

Abstract

Computed tomography is routinely used as first choice preoperatively. Intraoperative inspection, palpation, and sonography were applied with high success rate. Intraoperative sonography is considered as the most reliable technique. Enucleation is the most administered type of surgery (56%). Different types of resection include distal pancreatectomy (32%), Whipple procedure (3%), and subtotal pancreatectomy (<3%). Despite the development of laparoscopy, open approach is the favorite method (90%). The most common surgical complication is fistula. The mortality rate of open approach was higher (4 vs 0%). Despite high cure rate, recurrence of insulinoma occurs in 7% after surgery.