2008 Annual Meeting Abstracts

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To present the limits of the laparoscopic approach in patients with gastrinoma in 4 consecutive patients.The Laparoscopic Approach (Lap A) was successful in one patient after tumor excision (1 cm) localized between the duodenum and vena cava (primary lymph node gastrinoma) and in another MEN-1 patient after spleen-preserving distal pancreatectomy. Conversion in 2 patients, one localized in the posterior duodenal wall, and in another with lymph node metastasis.The Lap A was feasible and achieved cured in 50% of gastrinomas. The association of lymph node metastasis or the localization in difficult surgical areas, may limit its success.

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