Operative ultrasonography and endocrine tumors of the pancreas

  • Y. Chapuis
Part of the Series in Radiology book series (SERA, volume 19)


Probably intraoperative ultrasonography is used to greatest profit in the detection of small endocrine tumors of the pancreas: insulinomas and gastrinomas. These are small, often multiple formations that preoperative investigations (ultrasound, CT scan, selective arteriography, selective venous catheterization), which are not without risk, fail detect.


Endocrine Tumor Islet Cell Tumor Preoperative Investigation Hypoechoic Area Pancreatic Islet Cell Tumor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Angelini L., Maceratini R., Bezzi M., Tucci G., Bonifacino A., Bezzi M., Ciulli A., Fegiz G.: Intraoperative high resolution ultrasonography in the localization of occult endocrine pancreatic tumors. The Italian Journal of Surgical Sciences 13: 209–15, 1983.PubMedGoogle Scholar
  2. 2.
    Boissel P., Proye C.: Les tumeurs endocrines du pancréas. Masson, Paris, 1985.Google Scholar
  3. 3.
    Chapuis Y., Hernigou A., Poirier A., Luton J. P., Benali H.: Detection of a pancreatic insulinoma by perioperative real time ultrasonography. Presse Médicale 12: 40, 2535–2536, 1983.Google Scholar
  4. 4.
    Chapuis Y., Hernigou A., Plainfosse M. C., Bonnette P.: Ultrasound imaging in real time during operation for endocrine surgery. Chirurgie 110: 97–104, 1984.PubMedGoogle Scholar
  5. 5.
    Charbonneau J. W., James E. M., Van Heerden J. A., Grant C. S., Sheedy P. F.: Intraoperative real-time ultrasonographic localization of pancreatic insulinoma: initial experience. J. Ultrasound Med. 2 (6): 251–254, 1983.Google Scholar
  6. 6.
    Gigot J. F., Gianello P., Dardenne A. N., Otte J. B., Kestens R J.: L’échographie per-opém-toire dans la chirurgie du pancréas endocrine: résultats préliminaires à propos de 6 insuli-nomes. Gastro-entérol. Clin. Biol. 10: 219A, 1986.Google Scholar
  7. 7.
    Gunther R. W., Klose K. J., Ruckert K., Kuhn F. P., Beyer J., Klotter H. J., Cordes: Islet cell tumors: detection of small lesions with computed tomography and ultrasound.Google Scholar
  8. 8.
    Gunther R. W., Klose K. J., Ruckert K., Beyer J., Kuhn F. P., Klotter H. J.: Localization of small islet cell tumors. Preoperative and intra operative ultrasound, computed tomography, arteriography, distal subtraction, angiography, and pancreatic venous sampling. Gastro-intest. Radiol 10: 145–152, 1985.Google Scholar
  9. 9.
    Klotter H. J., Kuhn F. P., Ruckert K., Neher M., Hinkel E., Kummerle F.: Intraoperative Ultraschalluntersuch bei Pancreaseingriffen. Dtsch. Med. Wochenschr. 108: 1463–1468, 1983.PubMedCrossRefGoogle Scholar
  10. 10.
    Kuhn F. P., Gunther R., Ruckert K., et al.: Demonstration of pancreatic islet cell tumors. J. Clin. Ultrasound 10: 173–175, 1982.PubMedCrossRefGoogle Scholar
  11. 11.
    Lane R. J., Glazer G.: Intraoperative B-mode ultrasound scanning of the extra hepatic biliary system and pancreas. Lancet 2: 334–337, 1980.PubMedCrossRefGoogle Scholar
  12. 12.
    Lane R. J.: Intraoperative B-mode scanning. J. Clin. Ultrasound 8: 334–337, 1980.CrossRefGoogle Scholar
  13. 13.
    Lane R. J., Coupland G. A. E.: Operative ultrasonic features of insulinomas. Am. J. Surg. 144: 585–587, 1982.PubMedCrossRefGoogle Scholar
  14. 14.
    Meran S., Plainfosse M. C., Alexandre J. H.: L’échographie per-opératoire du pancréas. Médicine et Chirurgie Digestive, 10: 6, 478, 1981.Google Scholar
  15. 15.
    Mouroux D., Aimino R., Brandone H., Nicolino J.: Détection échographique pré-opératoire d’un insulinome. Presse Méd. 13: 1963, 1984.PubMedGoogle Scholar
  16. 16.
    Norton J. A., Sigel B., Baker A. R., Ettinghausen S. E., Shawker T. H., Krudy A. G., Doppman J. L., Taylor S. L., Gordon P.: Localization of an occult insulinoma by intraoperative ultrasonography. Surgery 97: 381–384, 1985.PubMedGoogle Scholar
  17. 17.
    Norton J. A., Cromack D. T., Shawker T. H., Doppman J. L., Comi R., Gordon P., Maton P. N., Gardner J. D., Jensen R. T.: Intraoperative ultrasonography localization of islet cell tumors. A prospective comparison to palpation. Ann. Surg. 207: 2, 160–168, 1988.PubMedCrossRefGoogle Scholar
  18. 18.
    Pasquali C., Rubaltelli L., Sperti C., Petrin C., Alfano A., Pedrazzoli S.: Peroperative sonography in pancreatic apudomas. 3Ime Congrès de la Société Internationale de Chirurgie, Paris, 1985. Abstruct, p. 639.Google Scholar
  19. 19.
    Peix J. L., Bel J. C., Maillet P. J., Lasras V., Fleury M. C.: Chirurgie écho-guidée de l’adénome langheransien. Lyon Chir. 83: 5, 357–359, 1987.Google Scholar
  20. 20.
    Plainfosse M. C., Merran S.: Work in progress: intraoperative abdominal ultrasound. Radiology 147 (3): 829–832, 1983.PubMedGoogle Scholar
  21. 21.
    Rifkim M. D., Weiss S. M.: Intraoperative sonographic identification of non palpable pancreatic masses. J. Ultrasound Med. 3: 409–411, 1984.Google Scholar
  22. 22.
    Ruchert K., Gunther R., Klotter H. J., Kummerle F.: Intraoperative sonographische Localisation von Insulinomes. Chirurg. 54: 589–591, 1983.Google Scholar
  23. 23.
    Rueckert K. F., Klotter H. J., Kummerle F.: Intraoperative ultrasonic localization of endocrine tumors of the pancreas. Surgery 96: 1045–1047, 1984.PubMedGoogle Scholar
  24. 24.
    Shawker T. H., Doppman J. L., Dunnickn R. et al.: Ultrasonic investigation of pancreatic islet cell tumors. J. Ultrasound Med. 1: 193–200, 1982.PubMedGoogle Scholar
  25. 25.
    Sigel B.: Ultrasonography during pancreatic surgery. In: Operative Ultrasonography. Lea & Febiger, Philadelphia, 85–109, 1982.Google Scholar
  26. 26.
    Sigel B., Coelho J. C., Donahue P. E., Nyhus L. M., Spigos D. G., Baker R. J., Machi J.: Ultrasonic assistance during surgery to pancreatic inflammatory disease. Arch. Surg. 117: 712–716, 1982.PubMedGoogle Scholar
  27. 27.
    Sigel B., Coelho J. C., Nyhus L. M., Velasco J. M., Donahue P. E., Wood D. K., Spigos D. G.: Detection of pancreatic tumors by ultrasound during surgery. Arch. Surg. 117: 1058–1061, 1982.PubMedGoogle Scholar
  28. 28.
    Sigel B., Duarte B., Coelho J. C., Nyhus L. M., Baker R. J., Machi J.: Localization of insulinornes of the pancreas at operation by real-time ultrasound scanning. Surg. Gynecol. Obstet. 156: 145–14729, 1983.PubMedGoogle Scholar
  29. 29.
    Sigel B., Coelho J. C., Machi J., Flanigan D. P., Donahue P. E., Schuler J. J., Bettler J. C.: The application of real-time ultrasound imaging during surgical procedures. Surg. Gyn. Obstet. 157:33–37, 1983.Google Scholar
  30. 30.
    Sigel B., Machi J., Ramos J. R., Duarte B., Donahue P. E.: The role of imaging ultrasound during pancreatic surgery. Ann. Surg. 200: 486–493, 1984.PubMedCrossRefGoogle Scholar
  31. 31.
    Sigel B., Machi J., Anderson K. W., Samuel S. P., Malik S. A., Haq S. Z., Duarte B., Donahue P. E., Baker R. J.: Operative sonography of the biliary tree and pancreas. Sem. Ultrasound, CT and MR 6: 2–14, 1985.Google Scholar
  32. 32.
    Weill F.: L’utrasonographie en pathologie digestive. Vigot Editeur, 1985.Google Scholar

Copyright information

© Kluwer Academic Publishers 1989

Authors and Affiliations

  • Y. Chapuis
    • 1
  1. 1.Clinique Chirugicale de l’Hôpital COCHINParisFrance

Personalised recommendations