Blinded Resection in Case of the Pancreatic Insulinoma

Vishnevsky Center of Surgery

Status: Completed

Conditions: Insulinoma; Pancreas

Treatments: Procedure: Pancreatic resection

Study type: Observational

Funder types: Other

Identifiers

NCT04741152

1899898189bf

Details and patient eligibility

About

The blinded resection avoided in case of pancreatic insulinoma

Full description

Despite of the technique and technology developement there are still a lot of troubles to verify small benign-looking pancreatic NETs. It can be especially important in case of insulinoma. The organic hyperilsulinism and severe hypoglicemia causeb by the insulin/proinsulin - producing lesion can lead to severe complications and evem death.

There are some cases of the blinded resections of the pancreas in patients with the "hidden" insulinoma when the tumor can't be revealed during the preoperative diagnostics and intraoperatively. Unfortunately, blind resection do not solve the problem of the hypoglicemia but also cause the specific pancreatic complications.

Enrollment: 197 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

The blinded resection of the insulinoma

Exclusion criteria

Other tumors

Trial design

197 participants in 2 patient groups

Revealed insulinoma

Description:

Cases when the tumor was revealed by the preoperative diagnostics and confirmed after the tumor elimination

Treatment:

Procedure: Pancreatic resection

Hidden Insulioma

Description:

Group when the insulinoma haven't been revealed preoperative and intraoperatively and the blind resection was performed.

Treatment:

Procedure: Pancreatic resection