General Surgery · Endocrine
Pancreatic Endocrine Tumour Enucleation
Pancreatic Endocrine Tumour Enucleation
DATE AND TIME: [Date and time] URGENCY: Elective / Non-elective SURGEON: [Name] ASSISTANT: [Name / None] ANAESTHETIST: [Name] OPERATION: Pancreatic Endocrine Tumour Enucleation ANAESTHETIC: General anaesthesia ANTIBIOTICS: IV cephalosporin at induction. VTE prophylaxis. DVT PROPHYLAXIS: [Agent / mechanical / Not indicated] POSITION: Supine. Midline or chevron incision. Intraoperative USS available. INDICATION: Benign pancreatic endocrine tumour — [insulinoma / somatostatinoma / VIPoma / glucagonoma / non-functioning islet cell tumour / serous cystadenoma]. Preoperative localisation: EUS, CT, MRI, [octreotide scintigraphy, selective venous sampling]. Tumour localised to [head / body / tail] of pancreas — remote from main pancreatic duct on imaging. No evidence of malignancy or metastatic disease confirmed. [Insulinoma: IV glucose commenced pre-operatively — blood glucose monitoring established]. INCISION: [Describe incision] PROCEDURE: