Robotic Enucleation for Challenging Pancreatic Head Insulinomas

The results of this study demonstrate that robotic enucleation is a safe and feasible treatment option for pancreatic head insulinomas located in challenging areas. The use of intraoperative ultrasound and endoscopic retrograde cholangiopancreatography (ERCP) with pancreatic duct stent placement were key components in preserving the pancreatic duct during surgery. Both patients experienced successful resolution of hypoglycemic events postoperatively, indicating the effectiveness of robotic enucleation in treating insulinomas.