Mr. Wang, who was nearly 60, was annoyed, because he did not know what strange diseases had been known nine years ago, and repeatedly lost consciousness.It shows that the mood is very low. It has been diagnosed with many hospitals. The diagnosis is unknown. It was treated according to epilepsy and depression. However, the treatment effect was not good, which seriously affected the quality of life.
The patients have reappeared recently, and the Department of Endocrinology of the Second Peoples Hospital of Hunan Province (Provincial Hospital) of Hunan Province found that the patients lowest blood sugar was only 1.5mmol/L, the endocrinology team has a detailed examination, pumping cocoon, and highly suspected that all culprits are caused by stubborn hypoglycemia caused by insulin tumors.Essence
So the multi -disciplinary discussion was launched, and the endocrinology, psychiatry, psychology department, general minimally invasive center, digestive internal medicine, etc. participated in the consultation. It can be positioned at the end of the pancreatic. The best treatment plan is surgical treatment.
After actively communicating, transfer to Hunan Second Peoples Hospital (Provincial Brain Hospital) General Minimally Invasive Center .Considering the poor position of the tumor, it is located on the back of the pancreatic tail, and is mixed between the spleen door and the spleen vein. The branch of the branch of the branch is dense and it is easy to cause side damage.In the following, Zhou Xiaobing, deputy chief physician of the Minimally Invasive Center, and the attending physician Zeng Hui surgery team adopted the spleen and pancreatic function of the spleen and pancreas in the whole abdominal laparoscopy, which successfully retained the function of the spleen and pancreas.
The pathological results of postoperative surgery are confirmed as insulin tumors.After the operation, Mr. Wang did not have symptoms of hypoglycemia, epilepsy, and depression. After careful care from the medical team, he was discharged smoothly.
Chen Dandan, deputy chief physician of the Department of Internal Secret Securities, said that the early manifestations of insulin tumors were symptoms of hypoglycemia such as dizziness, palpitations, and cold sweat, showing the manifestation of the "Thipple Three Lectures", including: 1. SpontaneousPeriodic episodes of hypoglycemia symptoms, coma, and mental neurological symptoms, an empty stomach or post -labor seizures; 2. The symptoms can disappear immediately after the blood sugar is lower than 2.8 mmol/L; 3. Oral or venous injection of glucose, the symptoms can disappear immediately.
Therefore, if the symptoms of dizziness, palpitations, and cold sweat after working frequently or after labor are frequently occurred, you should be alert to insulin tumors.Delayed treatment.
The difficulty of the treatment of insulin tumor lies in preoperative qualitative and accurate positioning. Some insulin tumors are multiple and lack of conventional pancreatic endocrine tumor imaging manifestations., Easy to miss the lesion.For the diagnosis of insulin tumors, in addition to conventional CT and MRI examinations, other diagnostic methods such as ultrasonic endoscopy, PET-CT examination and ultrasound during surgery are needed.
Guo Yuanping, chief physician of the General Micro -Invasive Center, introduced that surgical methods are the best choice for cure insulin tumors. About 90%of insulin tumors are benign, and cure after surgical resection tumor.Unlike the traditional pancreatic tail tumor surgery, the pancreatic tumor tumor cutting of the spleen and blood vessels is difficult. The difficulty of the surgical process is to separate the spleen veins surrounded by the pancreas tissue and keep the spleen vein.
If you care about it in this process, you may cause the tear of the spleen and vascular.The operation of the operation is not allowed to occur.
This time, a minimally invasive surgery was used to use laparoscopy.Compared with the traditional opening of abdominal pancreatic surgery, a large incision of 20-30 cm is often required. The minimally invasive surgical incision is only 1.2cm long, which can significantly reduce the patients pain, and shorten the postoperative recovery time and hospitalization time.This diagnosis and treatment also reflects the accurate treatment level of the hospitals multi -disciplinary collaborative diagnosis and treatment model.
Hunan Medical Chat Special Author: Hunan Second Peoples Hospital (Provincial Brain Hospital) General Minimally Invasive Center Zeng Hui Follow@
