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Updated: Jun 26, 2026

Robotic Enucleation of an Intra-Pancreatic Insulinoma in the Pancreatic Head
Published on: January 3, 2020
Laparoscopic management of insulinomas
A Isla1, J D Arbuckle, P B Kekis
1Department of Surgery, Imperial College Healthcare, London, UK. a.isla@imperial.ac.uk
Laparoscopic surgery for insulinomas is safe and effective, offering better recovery than open surgery. Intraoperative ultrasound aids in successful tumor resection, even in complex cases.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Endocrinology
Background:
- Conventional insulinoma treatment relies on open surgery.
- Laparoscopic surgery presents potential benefits like reduced pain and faster recovery.
- This study retrospectively analyzes laparoscopic management of pancreatic insulinomas.
Purpose of the Study:
- To evaluate the feasibility and safety of laparoscopic resection for insulinomas.
- To assess the outcomes of laparoscopic insulinoma surgery.
- To determine the role of intraoperative ultrasonography in laparoscopic insulinoma resection.
Main Methods:
- Retrospective review of 23 patients considered for laparoscopic insulinoma resection (2000-2007).
- All procedures performed by a single experienced pancreatic surgeon.
- Laparoscopic intraoperative ultrasonography utilized in later cases.
Main Results:
- Successful laparoscopic resection achieved in 21 patients.
- Tumor locations varied across the pancreas (head, body, tail).
- One conversion to open surgery due to adhesions; three postoperative pancreatic fistulas occurred. No recurrence observed.
Conclusions:
- Laparoscopic management of insulinomas is demonstrated as feasible and safe.
- Laparoscopic intraoperative ultrasonography is a valuable tool, enhancing surgical precision.
- The technique offers a viable alternative to open surgery for insulinoma treatment.
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