Insulinoma surgery: Difference between revisions
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The definitive management is surgical removal of the insulinoma. This may involve removing part of the pancreas as well ([[Whipple procedure]] and distal [[pancreatectomy]]). | The definitive management is surgical removal of the insulinoma. This may involve removing part of the pancreas as well ([[Whipple procedure]] and distal [[pancreatectomy]]). | ||
===Benign Tumors=== | ===Benign Tumors=== | ||
*Small well-encapsulated, solitary tumors: | *Small well-encapsulated, solitary tumors: | ||
:*Surgical resection is treatment of choice (minimal invasive surgery) | :*Surgical resection is treatment of choice (minimal invasive surgery) | ||
| Line 17: | Line 16: | ||
===Malignant Tumors=== | ===Malignant Tumors=== | ||
*Resectable tumors: | *Resectable tumors: | ||
:*Aggressive surgical resection, including extended pancreatic resection, liver resection, and/or liver transplantation | :*Aggressive surgical resection, including extended pancreatic resection, liver resection, and/or liver transplantation | ||
| Line 28: | Line 26: | ||
:*Embolization | :*Embolization | ||
:*Intra-arterial chemotherapy | :*Intra-arterial chemotherapy | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 15:14, 7 October 2015
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Insulinoma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Insulinoma surgery On the Web |
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American Roentgen Ray Society Images of Insulinoma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]
Overview
Surgery
The definitive management is surgical removal of the insulinoma. This may involve removing part of the pancreas as well (Whipple procedure and distal pancreatectomy).
Benign Tumors
- Small well-encapsulated, solitary tumors:
- Surgical resection is treatment of choice (minimal invasive surgery)
- Enucleation
- Partial pancreatectomy
- Middle pancreatectomy
- Multiple, unencapsulated, >4 cm in diameter, and involves or is near the main pancreatic duct:
- Radical resection
Malignant Tumors
- Resectable tumors:
- Aggressive surgical resection, including extended pancreatic resection, liver resection, and/or liver transplantation
- Post-surgical chemoembolization or radiofrequency ablation of tumors to control hypoglycemia
- Unresectable tumors
- Octreotide administration
- Continous glucose monitoring
- Radiofrequecy ablation
- Embolization
- Intra-arterial chemotherapy