Tratamento cirúrgico videolaparoscópico de insulinomas utilizando ultra-sonografia intra-operatória

T, Valente; Bertevello, Pedro Luiz; Waitzberg, Dan Linetzky; Gama-Rodrigues, Joaquim

doi:10.1590/s0004-28032007000100006

Cited by 5 publications

(2 citation statements)

References 20 publications

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“…There are several methods of imaging available, being necessary usually more than one for location of the lesion. CT scan showed positivity in 25%, similar to other series, but below the sensitivity of 63% described for helicoidal CT 5,13 . Ultrasonography revealed positivity in 33%, well above described, which can be explained by the size and location of the three lesions that were found by ultrasound in this series.…”

Section: Discussionsupporting

confidence: 85%

Tratamento cirúrgico dos insulinomas do pâncreas

Bonato

Coelho

Petruzzielo

et al. 2012

ABCD, arq. bras. cir. dig.

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Section: Discussionsupporting

confidence: 85%

Tratamento cirúrgico dos insulinomas do pâncreas

Bonato

Coelho

Petruzzielo

et al. 2012

ABCD, arq. bras. cir. dig.

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“…[43] Laparoscopic ultrasonography is of great benefit in the management of insulinoma because of its advantages in terms of localization of the tumor and characterization of important adjacent anatomical structures, which is of vital importance in choosing the appropriate surgical method for resection and avoiding complications. [444546]…”

Section: Efficacy Of Laparoscopic Ultrasonographymentioning

confidence: 99%

Efficacy of laparoscopic ultrasonography in laparoscopic resection of insulinoma

Wang

Zhang

et al. 2017

Endosc Ultrasound

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Insulinoma is the most common functioning islet cell tumor of the pancreas, with an annual incidence of 4 cases/1 million individuals. It is treated by surgical methods. Open surgery was once considered the standard approach for the treatment of insulinoma. However, the procedure is traumatic and requires a large incision, which does not satisfy the growing expectations of minimally invasive management of small-sized tumors. Insulinomas are usually benign solitary tumors and mostly occur sporadically, which makes them suitable candidates for laparoscopic management. The potential advantages of laparoscopic management of insulinoma over open surgery include shorter duration of hospitalization, quicker recovery, and better cosmetic effect. However, because of the small tumor size as well as the depth and uncertainty of the location of the tumor, laparoscopic localization of the lesion without tactile sensation is difficult. Laparoscopic ultrasonography can detect about 90% of insulinomas, and its sensitivity is comparable to that of manual palpation along with intraoperative ultrasonography during open surgery; thus, it ensures the feasibility of laparoscopic management of insulinoma and reinforces its advantage as a minimally invasive procedure. Laparoscopic ultrasonography is vital for the localization of insulinomas and characterization of the surrounding pancreatic structure and should, therefore, be considered an integral part of the laparoscopic management of insulinoma.

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Critical analysis of the use of statistical tests in Brazilian publications related to digestive tract surgery

Orso¹,

Pereira²,

D’Albuquerque³

et al. 2011

Revista da Associação Médica Brasileira

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Tratamento cirúrgico videolaparoscópico de insulinomas utilizando ultra-sonografia intra-operatória

Abstract: The videolaparoscopic approach for the surgical treatment of insulinoma is feasible. The intraoperative ultrasonography helps to identify the lesions and check their complete resection with low complication rate.

Cited by 5 publications

References 20 publications

Tratamento cirúrgico dos insulinomas do pâncreas

Tratamento cirúrgico dos insulinomas do pâncreas

Efficacy of laparoscopic ultrasonography in laparoscopic resection of insulinoma

Critical analysis of the use of statistical tests in Brazilian publications related to digestive tract surgery

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