腹腔镜超声在腹腔镜胰岛素瘤切除术中的定位诊断

Laparoscopic Ultrasonography Localization During Laparoscopic Surgical Resection of Insulinoma

目的探讨腹腔镜超声在胰岛素瘤腹腔镜术中的定位诊断价值。资料与方法回顾性分析64例行腹腔镜胰岛素瘤切除术患者的手术结果,计算术中超声对胰岛素瘤的检出率及定位诊断准确率,并评价术中超声引导下胰岛素瘤切除术的效果。结果 64例患者中,62例行腹腔镜胰岛素瘤切除术,2例因术中超声检查未发现明确肿瘤而未行任何手术。术中超声对肿瘤的检出率为96.9%,共检出69个结节,其对肿瘤个数的定位诊断准确率为100%。62例腹腔镜术中超声明确胰岛素瘤的患者中,59例单发肿瘤患者行腹腔镜单纯胰岛素瘤摘除术;3例多发肿瘤患者肿瘤结节均位于胰腺体尾部,其中1例行腹腔镜超声检查后直接转开腹手术,其余2例于腹腔镜切除1个肿瘤后采用中转开腹胰岛素瘤摘除并胰体、尾切除。结论腹腔镜术中超声对胰岛素瘤的检出率及定位诊断准确率高,同时可显示肿瘤的毗邻关系,有助于术中选择合适的手术方式。

Purpose To explore the diagnostic value of laparoscopic ultraso nography in laparoscopic insulinoma resection surgery. Materials and Methods The surgery results of 64 patients who underwent laparoscopic ultrasonography during laparoscopic insulinoma resection surgery were retrospectively analyzed to summarize the detection rate and diagnostic accuracy rate of laparoscopic ultrasonography. Results Laparoscopic insulinoma resection surgery was successfully performed in 62 of all 64 cases. Two cases did not have surgery due to no definite tumors after repeated laparoscopic ultrasonography examinations. The detection rate of laparoscopic ultrasonography was 96.9%. Sixty-nine insulinomas were found in 62 patients by laparoscopic ultrasonography and diagnostic accuracy rate was 100%. Fifty-nine patients with single tumors underwent laparoscopic resection of insulinomas. Three patients had multiple tumors in the body and the tail of pancreas. One of them underwent laparotomy, and the other two had laparoscopic resection of one tumor and then laparotomy for the others. Conclusion ultrasonography has high detection rate and diagnostic accuracy rate in of insulinomas and can display the relationship between the tumor Laparoscopic the diagnosis and adjacent tissues, It is helpful in choosing an appropriate surgical approach.