ABCD: Arquivos Brasileiros de Cirurgia Digestiva (Aug 2024)

LAPAROTOMIC RADIOFREQUENCY ABLATION OF PANCREATIC INSULINOMA

  • Allan Rubens Zucolotto CANSI,
  • Jhonatan de Souza VITOR,
  • João Felipe da Silva LOPES,
  • Rogério Dardengo GLÓRIA

DOI
https://doi.org/10.1590/0102-6720202400026e1819
Journal volume & issue
Vol. 37

Abstract

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ABSTRACT Insulinomas are rare neoplasms of the endocrine pancreas. Minimally invasive treatment options for insulinomas have gained prominence, replacing surgical resection due to its associated morbidity and mortality. Radiofrequency ablation (RFA) has emerged as a relevant treatment option. We present a case of a female patient with neuroglycopenic symptoms and severe hypoglycemic crises. The abdominal magnetic resonance imaging (MRI) showed a small nodular lesion in the pancreatic body. Laparotomy was performed, followed by RFA using a 15-mm active-tipped needle. No complications transpired, and no hypoglycemic episodes were observed during 12 months of follow-up.

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