Insulinoma; Pancreas
Conditions
Keywords
Insulinoma, Hypoglicemia, Blind resection, Hidden Insulinoma, ASVS
Brief summary
The blinded resection avoided in case of pancreatic insulinoma
Detailed description
Despite of the technique and technology developement there are still a lot of troubles to verify small benign-looking pancreatic NETs. It can be especially important in case of insulinoma. The organic hyperilsulinism and severe hypoglicemia causeb by the insulin/proinsulin - producing lesion can lead to severe complications and evem death. There are some cases of the blinded resections of the pancreas in patients with the hidden insulinoma when the tumor can't be revealed during the preoperative diagnostics and intraoperatively. Unfortunately, blind resection do not solve the problem of the hypoglicemia but also cause the specific pancreatic complications.
Interventions
PROCEDUREPancreatic resection
Different pancreatic resections
Sponsors
Vishnevsky Center of Surgery
Study design
Observational model
CASE_ONLY
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
The blinded resection of the insulinoma
Exclusion criteria
Other tumors
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| No hidden insulinomas | 2010 June - 2020 June | To improve the diagnostics of the tumor before and during the surgery. The hidden insulinomas haven't been diagnosed. The frozen section have to be routinely performed. The surgery haven't been finished before the morphologic confirmation of the resected lesion. |
Outcome results
None listed