1NSULINOMA
DIAGNOSTIC AND THERAPEUTIC EXPERIENCES IN 60 CASES |
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Authors: | X J Zeng Y Zhu W R Wu T H Liu |
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Abstract: | Experiences in the diagnosis and treatment
of 60 cases of insulinoma are reported. Symptoms
are analyzed. Blood sugar determination during
an attack is most important for diagnosis.
Using Whipple's triad as diagnostic criteria the
accuracy of preoperative diagnosis was above
91c/o. The only effective treatment for insulinoma
is surgical removal of the tumor. The possible
causes for failure to find the tumor during ex-
ploration are discussed. Simple enucleation is the
preferred method of removal of insulinoma.
When no tumor is found after thorough explora-
tion, controlled staged resection of the pancreas
from left to right under blood sugar monitoring
is the procedure of choice. Postoperative com-
plications are common, but the late results are
gratifying provided the operation is carried out
early in the course of the disease. |
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Keywords: | |
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