Eur J Pediatr Surg 2017; 27(04): 368-372
DOI: 10.1055/s-0037-1603524
Special Report
Georg Thieme Verlag KG Stuttgart · New York

Cavitron Ultrasonic Surgical Aspirator-Assisted Pancreatic Resection in Hyperinsulinism

Logan Bond
1  Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky, United States
,
Zaria Murrell
1  Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky, United States
,
Tiffany Wright
1  Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky, United States
,
Sheldon Bond
1  Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky, United States
› Author Affiliations
Further Information

Publication History

07 April 2017

11 April 2017

Publication Date:
23 May 2017 (online)

Abstract

Introduction Diffuse congenital hyperinsulinemia continues to be poorly responsive to medical management. Surgical resection for this entity can be variable in extent and efficacy.

Materials and Methods This report describes a unique method of pancreatic resection for diffuse familial congenital hyperinsulinemia. The procedure maximizes pancreatic parenchymal removal while preserving blood supply to the vital structures adjacent to the head of the pancreas. Two cases of familial congenital hyperinsulinism are presented as well as a review of the current surgical literature.

Results The Cavitron ultrasonic surgical aspirator has been used successfully to assist in maximum resection of pancreatic tissue while preserving blood supply to the duodenum and common bile duct.

Conclusion This report describes a useful technique of maximizing pancreatic resection for patients with diffuse congenital hyperinsulinemia which preserves adjacent vital structures.