Modern diagnostics and surgical tactics when the pancreas insulinoma

From 2004 - 2015, in NMHTS them. NI Pirogovwere treated 42 patients with organic hyperinsulinism caused by a tumor of the pancreas. Preoperative examination consisted of syndromic stage (clinical manifestations) and topical diagnosis (ultrasound, MSCT, EndoUZI, angiography, tumor markers). Solitary nature of insulin was detected in 36 (86%), multifocal, and combined with other pancreatic tumors in 6 (14%) patients. All patients were operated on: 29 - enucleation of insulin, 9 - distal resection of the pancreas, 1 - medial pancreatectomy, 3 - DA. The volume of surgery depend on the topical location, tumor size, its relationship with the duct of the pancreas and blood vessels, the degree of malignancy. In 14 patients (33%) developed postoperative pancreatitis. Deaths were not. The main predictors of treatment outcomes of patients with pancreatic insulinomas are: early diagnosis, sparing minimally invasive surgery volume, precision tactic surgery, correction of blood glucose and the prevention of postoperative pancreatitis.