Laparoscopic Enucleation of a Nonfunctioning Neuroendocrine Tumor at the Head of the Pancreas

Author： Singh Nikhil Lo Chung-Yau Chan Wai-Fan

Publisher： Society of Laparoendoscopic Surgeons

ISSN： 1086-8089

Source： JSLS, Journal of the Society of Laparoendoscopic Surgeons, Vol.10, Iss.2, 2006-04, pp. : 259-262

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Abstract

Objective: Laparoscopy is a safe, feasible technique for benign pancreatic pathologies and has been increasingly reported for neuroendocrine tumors located at the body and tail of the pancreas. We report a case of successful enucleation of a nonfunctioning neuroendocrine tumor located at the head of the pancreas, in a patient with multiple endocrine neoplasia type I.Methods: A 5-cm nonfunctioning neuroendocrine tumor at the pancreatic head was identified by computerized tomography scan. Laparoscopic ultrasound did not reveal additional tumors on any other part of the pancreas.Results: Enucleation was successfully performed for this solitary tumor because of its favorable position. Histology revealed an islet cell tumor. No postoperative complications occurred and recovery was rapid.Conclusion: Laparoscopic enucleation of neuroendocrine tumor at the pancreatic head is safe and feasible for select patients.