Yuri Sokolov, MD
Yuri Sokolov, MD; Artem Efremenkov, MD; Tatyana Utkina, MD; Anatole Kotlovsky, MD; Russian Medical Academy of Continuous Professional Education
To present a case of pancreatic head resection with Roux-en-Y pancreaticojejunostomy performed laparoscopically for the focal form of congenital hyperinsulinism.
A 4 month old, full termed, female, having presented with hypoglycaemia Examinations confirmed congenital hyperinsulinism. The imaging with positron emission tomography using 18 F- DOPA reveled an increased uptake of the isotope in the head of the pancreas (SUV 1,54), indicating focal hyperinsulinism. The pharmacologic therapy isn’t effective. The surgical treatment was then undertaken with laparoscopic approach. The head of pancreas and uncinate procress were mobilized and resected with the isthmus transsection using Harmonic scalpel. The Common bile duct was identified and left intact. Roux-en-Y loop was created and anastomosed intracorporeally to the end of the distal remaining part of the pancreas in the retrocolic faschion. The intraoperative course was uncomplicated. The postoperative period was uneventful. The patient remained euglycaemic at 2-year follow up.