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.
Keywords
hyperinsulinism - children - surgical
