Multiple Functional Neuroendocrine Tumors of Pancreas and Duodenum Managed by Robotic Totally Duodenumpancreatectomy
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SURGERY
Multiple Functional Neuroendocrine Tumors of Pancreas and Duodenum Managed by Robotic Totally Duodenumpancreatectomy A. G. Kriger 1 & D. S. Gorin 2 & S. V. Berelavichus 3 & R. S. Dugarova 4 & O. V. Paklina 5 & V. I. Panteleev 6 & A. R. Kaldarov 7 Accepted: 2 April 2020 / Published online: 8 May 2020 # Springer Nature Switzerland AG 2020
Abstract Multiple endocrine neoplasia (MEN) syndrome type I is a rare genetic syndrome characterized by the growth of endocrine tumors in different organs, mostly endocrine glands. Zollinger-Ellison and organic hyperinsulinism can be a part of this syndrome but it is very rare when they can be observed together in one patient. Clinical case of MEN I was described. Symptoms, presented by hypoglycemia and multiple ulcers, occurred in a 42-year-old woman. She suffered for 9 years, the diagnosis was multiple neuroendocrine tumors of the pancreas and duodenum, organic hyperinsulinism, Zollinger-Ellison syndrome. Robotic total duodenumpancreatectomy, splenectomy, distal gastrectomy with D2 lymphadenectomy was performed. Postoperative recovery was uneventful; patient was discharged after less than 2 weeks. Long-term survival showed no recurrence of the disease. In reviewed literature, we found no other c a s e s o f sy n c h r o n o u s h y p o g l y c em i c an d Z o l l i n g e r-E l l i s o n s y n d r om e s m a n a g e d b y t o t a l ro b o t i c duodenumpancreatectomy. Robotic technology can become a feasible and preferable method of treatment even in such difficult cases. Keywords Neuroendocrinetumor . Pancreatectomy . Duodenumpancreatectomy . Hyperinsulinism . Robotic-assisted . Robotic . Wermer syndrome . Insulinoma . Gastrinoma
This article is part of the Topical Collection on Surgery * A. R. Kaldarov [email protected]
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Researcher of Abdominal Surgery Department, A.V. Vishnevsky Center of Surgery, 40 Seslavinskaya Street 48, Moscow, Russian Federation 121309
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Leading Researcher of Abdominal Surgery Department, A.V. Vishnevsky Center of Surgery, 16/1 Solov’iniy proezd street 139, Moscow, Russian Federation 117593
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Abdominal Surgery Department, A.V. Vishnevsky Center of Surgery, 40, Skobelevskaja street 70, Moscow, Russian Federation 117624
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Research of Pathologic anatomy Department, A.V. Vishnevsky Center of Surgery, 27, B. Serpuhovskaja, Moscow, Russian Federation 117997
V. I. Panteleev [email protected]
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Abdominal Surgery Department, A.V. Vishnevsky Center of Surgery, 3 Angelov pereylok 40, Moscow, Russian Federation 125368
Abdominal Surgery Department, A.V. Vishnevsky centre of Surgery, 5 Universitetskiy prospect Street, 289, Moscow, Russian Federation 119296
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Surgeon of Abdominal Surgery Department, A.V. Vishnevsky Center of Surgery, 9, Novoe shosse street 78, Drojjino, Moscow region, Russian Federation 142718
A. G. Kriger [email protected] D. S. Gorin [email protected] S. V. Berelavichus [email protected] R. S. Dugarova [email protected] O. V. Paklina [email protected]
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SN Compr. Clin. Med. (2020) 2:675–680
Fig. 1 CT, arterial phase, ax
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