ГИГАНТСКАЯ НЕЙРОЭНДОКРИННАЯ ОПУХОЛЬ ПОДЖЕЛУДОЧНОЙ ЖЕЛЕЗЫ. КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕ УСПЕШНОГО ИСПОЛЬЗОВАНИЯ ЛАПАРОСКОПИЧЕСКИХ ТЕХНОЛОГИЙ

Abstract

Today, laparoscopic interventions on the abdominal organs cover an increasing range of application in both planned and emergency surgery. The case-study presents a clinical observation of the successful application of laparoscopic technology in a 59-year-old patient with a giant neuroendocrine tumor of the pancreas, admitted to hospital for emergency reasons with acute diagnosis of acute pancreatitis. Abdominal mass formation. According to the patient, she was not previously examined on an outpatient basis, was not observed by specialized specialists. In connection with the increase in pain and the lack of positive dynamics on the background of the ongoing conservative treatment after a full examination, the patient is served in the operating room for diagnostic laparoscopy, in which the picture of cystic neoplasm of the pancreatic tail. Performed laparoscopically assisted corporal coronary resection of the pancreas, drainage of the abdominal cavity.The histological conclusion: the wall of the cyst adjacent to the pancreatic tissue is represented by the growth of endocrine large cell carcinoma. The wall of the second cyst is represented by fibrous tissue with foci of hemorrhage and diffuse lymphocytic infiltration.Diagnosis of neuroendocrine tumors is based on the identification of a clinical picture due to hormonal dysfunctions; however, in patients with non-functioning neuroendocrine tumors, it is a difficult task to identify or suspect such a disease. The modern development of laparoscopic surgery after the period of mastering almost all types of surgical interventions has not exhausted its potential and requires improvement in new sections of surgery, including interventions on the pancreas in a first-aid hospital.