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Laparoscopic Surgery for Focal-Form Congenital Hyperinsulinism Located in Pancreatic Head
Zhe Wen1, Jieqin Wang1, Qifeng Liang1
1Department of Pediatric Surgery, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Insights
Laparoscopic pancreatic head resection offers a safe and effective minimally invasive option for treating focal congenital hyperinsulinism of infancy (CHI) when medical management fails. This approach demonstrates excellent outcomes with minimal complications, providing a new surgical solution for infants with CHI.
Area of Science:
- Pediatric Surgery
- Endocrinology
- Minimally Invasive Surgery
Background:
- Congenital hyperinsulinism of infancy (CHI) is a rare disorder causing severe neurological damage.
- Medical management failure in CHI necessitates surgical intervention, typically open pancreatectomy.
- Laparoscopic approaches for CHI pancreatic head resection remain largely unreported.
Purpose of the Study:
- To assess the feasibility, safety, and efficacy of laparoscopic pancreatic head resection with Roux-en-Y pancreaticojejunostomy for focal CHI.
- To establish a minimally invasive surgical alternative for CHI treatment.
Main Methods:
- Two infants diagnosed with CHI underwent laparoscopic near-total pancreatic head resection.
- Data collected included clinical records, operative findings, and postoperative follow-up.
- Analysis focused on operative outcomes and patient recovery.
Main Results:
- Laparoscopic surgery duration ranged from 300-330 minutes with minimal blood loss.
- No intra- or postoperative abdominal complications were observed.
- Patients resumed oral feeding within 3-4 days, with stabilized blood glucose levels post-surgery.
Conclusions:
- Laparoscopic pancreatic head resection and Roux-en-Y pancreaticojejunostomy represent a safe and effective treatment for focal CHI.
- The procedure is associated with minimal morbidity and excellent patient outcomes.
- This minimally invasive technique provides a viable surgical option for CHI affecting the pancreatic head.
Background And Aims:
Congenital hyperinsulinism of infancy (CHI) is a rare condition that may cause irreversible severe neurological damage in infants. For children in whom medical management fails, partial or near-total pancreatectomy is then required according to the type of lesion. Currently, open surgery of near-total pancreatic head resection is a mature technique for the treatment of focal-form CHI located in the head of the pancreas, but a minimally invasive laparoscopic procedure has not been reported yet. The aim of this study was to verify the feasibility, safety, and efficacy of laparoscopic pancreatic head resection and Roux-en-Y pancreaticojejunostomy for focal-form CHI.
Methods:
Two infants with persistent hypoglycemia and increased insulin levels were diagnosed with CHI and underwent laparoscopic near-total pancreatic head resection due to a suboptimal response to medical therapy and the likelihood of focal disease amenable to surgery. Clinical records, operative findings, and postoperative follow-up were collected and analyzed.
Results:
The operative duration was 300-330 min, and the intraoperative blood loss was minimal. The duration of postoperative abdominal drainage was 4-5 days. Neither intra- nor postoperative abdominal complications occurred. Oral feeding was resumed 3-4 days after the operation, and the blood glucose level was gradually stabilized to within the normal range. Normal blood glucose was observed in both patients over a follow-up period of 3-6 months.
Conclusions:
Laparoscopic pancreatic head resection and Roux-en-Y pancreaticojejunostomy can be considered a safe and effective procedure with minimal morbidity and excellent outcomes for the treatment of focal CHI in the head of the pancreas.
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