Blind Distal Pancreatectomy for Insulinima

Blind distal pancreatectomy was performed in two cases of our clinic who showed clinical evidences of insulinoma. During the surgical exploration of the tumor, gentle exposure, carefule mobilization, inspection and palpation of the pancreas are necessary. When the tumor can not be found in the pancreas, 75 per cent of the distal pancreas should be resected. If the levels of blood suger fail to rise within 30 minutes after the resection and no tumor is found microscopically in serial sections of the resected specimen, additional resection of the residual pancreas should be performed. The results of blind distal pancreatectomy for insulinoma is sure to improve in keeping our mind on these managements.