Occult insulinoma Clinical analysis of 4 cases.doc

Occult insulinoma Clinical analysis of 4 cases Of: bag Siu Hong, Huang Xinyu, Zheng, the Wang Xiaofeng, Wang Hongcheng [Abstract] Objective To summarize the diagnosis and treatment of occult insulinomas experience of diagnosis of a variety of methods to explore the value and the choice of surgical approach. Methods in April 2009 to September 4 cases of hospital patients with occult insulinoma information retrospectively . Results in diagnosis: three routine ultrasound, detected in 2 cases (66.7%); 3 cases of pancreatic thin dynamic real-time enhanced spiral CT scan, were detected (100%); 2 cases of selective arterial calcium stimulation Determination of venous blood insulin, were detected, but 1 patient positioning is not accurate (50%); 4 cases of intraoperative ultrasound + surgical exploration, were detected (100%). surgery: 4 patients, 3 cases of single Fat (located in pancreatic body, pancreatic head and tail of pancreas), 1 case of multiple (in the pancreatic body and tail of pancreas); 2 cases tumor resection alone, a routine Beger operation, a routine resection of pancreatic body and tail surgery (to retain the spleen). There was no recurrence after surgery. Conclusions Pancreatic dynamic real-time thin-layer spiral CT enhanced scan, IOUS combined with surgical exploration for localization of occult insulinoma diagnostic yield is higher. Surgery is the best way to cure the disease, should be based on tumor location, nature of procedure, and as far as possible injury and the surgical technique, intraoperative blood glucose monitoring for the success of the operation is also important. [Keywords:] Insulinoma; localization diagnosis; surgery [Abstract] Objective To summarize the experience in the diagnosis and treatment of insulinoma.Discuss the value of its localization diagnosis methods and the selection of the operations.Methods The clinical materials of 4 cases of insulinoma treated in our hospital from Apr.2009 to Sep .2009 were analyzed retro