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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 352 (1980), S. 209-212 
    ISSN: 1435-2451
    Keywords: Insulinoma ; Gastrinoma ; Surgical tactics ; Insulinom ; Gastrinom ; Chirurgische Taktik
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Hormonaktive Pankreastumoren wie das Insulinom, Gastrinom und die seltenen Vipome und Glucagonome müssen rasch operativ behandelt werden, um die negativen Auswirkungen des Hormonexcesses zu beheben und einer Metastasierung zuvorzukommen. Präoperativ ist die Diagnose klinisch zu sichern, eine medikamentöse Vorbehandlung einzuleiten und der Tumor zu lokalisieren. Die operativen Eingriffe reichen von der Tumorenukleation über die Pankreasteilresektion bis zur Duodenopankreatektomie oder Gastrektomie mit Metastasenreduktion.
    Notes: Summary Hormone-producing tumors of the pancreas (insulinoma, gastrinoma, vipoma, glucagonoma) need urgent surgery because of the negative influence of excessive hormone levels and possible malignancy. Preoperative diagnosis must be confirmed by clinical tests. Initial drug therapy and localization of the tumor is necessary. Operative treatment ranges from tumor enucleation to subtotal pancreatic resection and from pancreatectomy to gastrectomy with reduction of metastasis.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 361 (1983), S. 575-576 
    ISSN: 1435-2451
    Keywords: Insulinoma ; Enucleation ; Resection ; Insulinom ; Enucleation ; Resektion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Von 1964 bis 1982 wurden 42 Inselzelltumoren operativ behandelt, davon waren 30 benigne und 12 maligne. Bei 75% der Inselzelladenome gelang die Enucleation, während 1/4 der Tumoren nur durch Resektion entfernt werden konnte. Die Enucleation ist das optimale Verfahren in der Behandlung von Insulinomen. Die Komplikationsquote ist geringer als bei der Resektion und intaktes Drüsengewebe wird erhalten. Kein Patient verstarb postoperativ.
    Notes: Summary 42 patients in whom islet cell tumours had been diagnosed were operated upon from 1964 to 1982. In 30 cases the tumour was benign and in 12 cases malignant. 75% of the adenomas were treated surgically by enucleation and 25% by partial resection of the pancreas. Enucleation seems to be the best method of surgical management. The complication rate is lower than in resection and normal tissue of the pancreas will be preserved. No patient died in the postoperative period.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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