Licona-Islas CM, Mora-Fol JR, Puga-Ayala VM

Language: Spanish
References: 6
Page: 190-192
PDF size: 65.38 Kb.

ABSTRACT

Introduction: Persistent hyperinsulinemic hypoglycemia is caused by inappropiate insulin secretion. Patients that do not respond to medical treatment require pancreatectomy. 95% pancreatectomy is the procedure of choice.
Material and Methods: We included five patients who underwent laparoscopic pancreatectomy, three trocars were placed, the pancreas was resected from the tail to the origin of the porta vein, preserving the splenic vessels.
Results: In four patients we performed 95% pancreatectomy and 80% in one, which required reoperation because hyperinsulinism persisted. So far the patients are normoglycemic without medical treatment.
Conclusions: Laparoscopic pancreactectomy has shown similar results to those with open surgery, whith the known advantages of minimally invasive surgery.

REFERENCES

1. Fekete CN, de Lonlay P, Jaubert F, Rahier J, Brunelle F. The surgical management of congenital hyperinsulinemic hypoglycemia in infancy. J Pediatr Surg 2004; 39(3):267-269.

2. Shilyansky J, Fisher S, Cutz E, Perlman K, Filler RM. Is 95% pancreatectomy the procedure of choice for treatment of persistent hyperinsulinemic hypoglycemia of the neonate? J Pediatr Surg 1997; 32(2):342-346.

3. Reyes G, Fowler C, Pokorny WJ. Pancreatic anatomy in children: Emphasis on its importance to pancreatectomy. J Pediatr Surg 1993; 26(5):712- 715.

4. Blakely ML, Lobe TE, Cohen J, Burghen GA. Laparoscopic pancreatectomy for persistent hyperinsulinemic hypoglycemia of infancy. Surg Endosc 2001; 15(8):897-898.

5. Sotelo N, Cordero A, Ramirez C, LopezG, Hurtado J, Lopez B. Hipoglucemia hiperinsulinémica persistente. Informe de dos casos. Cir Ciruj 2004; 72(5): 409 -414.

6. Lovvorn H, Nance ML, Ferry RJ, Stolte L, Baker L, O´Neil JA.Congenital hyperinsulinism and the surgeon: lessons learned over 35 years. J Pediatr Surg 1999; 34(5):786-793.