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Laparoscopic enucleation of a pancreatic insulinoma

B Dallemagne, MD S Perretta, MD, PhD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Jan 2009;09(01). URL: http://websurg.com/doi/vd01en2533

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  • 2009-01-15
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Insulinoma is the most common pancreatic endocrine neoplasm. Treatment is by excision. In the pre-laparoscopic era, the enucleation was performed by laparotomy, but surgeons have shown that it can be performed laparoscopically. Preoperative localization is important in planning port placement and in guiding laparoscopic ultrasonography if necessary. When enucleation is performed, the pancreatectomy provides no oncologic advantage.