Abstract
A 39-year-old woman was admitted to the hospital with recurrent attacks of hypoglycemia. Her FBS was 48 mg/dl when she had a consciousness disturbance. An enhanced CT scan showed a tumor, 15 mm in diameter in the pancreatic tail, and a diagnosis of solitary pancreatic insulinoma was confirmed. The tumor location was confirmed by intraoperative ultrasonography, and laparoscopic enucleation was performed using Laparoscopic Coagulating Shears. The operation time was 150 minutes, and bleeding was 10 g. The tumor size was, 12×12×10 mm, and on pathology, an insulinoma was diagnosed. The postoperative course was uneventful. She was discharged on the 7th postoperative day and currently remains normoglycemic. Single Incision Laparoscopic Surgery is recommended for a solitary pancreatic tail insulinoma such as seen in our case.
