bandage-green

Pancreatic Neuroendocrine Tumor Resection (Insulinoma / Gastrinoma)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath
Considerations : Arterial line, Aspiration risk / Full stomach, PONV

Anesthetic Approaches

1GETT, Nerve Block
2GETT, Epidural
3GETT, TIVA, Propofol Drip
The Surgery

Localization - the tumor is often small and not visible from the surface, so the surgeon mobilizes the pancreas widely and sweeps it with intraoperative ultrasound (IOUS) to find the lesion and...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?