Present-day possibilities of the surgical treatment of patients with insulinoma
Pomelov, V.S.; Tsvirkin, V.V.; Vishnevskiĭ, V.A.; Gavrilin, A.V.; Grigorevskiĭ, V.P.
Klinicheskaia Meditsina 66(2): 76-80
1988
ISSN/ISBN: 0023-2149 PMID: 2836653 Document Number: 310469
The present-day methods of examination, preoperative preparation, intraoperative diagnosis, surgery and postoperative management of patients with insulinomas are described. Difficulties associated with the exact preoperative topical diagnosis of insulinomas stipulate particular significance of intraoperative methods of examination among which the leading one is ultrasonic method and manipulations conducted under its control. Application of "Biostator" apparatus before, during and after the operation is the most adequate method of the monitoring and correction of glycemic changes. The use of neuropeptide defense of patients during surgery on the pancreas promote the reliable prevention of specific complications of postoperative pancreatitis.