Improved Localization and Complete Resection in Pancreatic Hypoglycemia Using Intraoperative Segmental Pancreatic Occlusion and Insulin Assay

Combining intraoperative segmental pancreatic occlusion and insulin assays significantly enhances the localization and complete resection of hypersecretory pancreatic tissues in patients with pancreatic hypoglycemia. A retrospective analysis of 11 cases showed that the insulin assay, performed 30 minutes post-resection, accurately located target tissues and achieved a complete resection rate of 100%. Intraoperative blood glucose monitoring, on the other hand, had a low accuracy of 36.6%. Postoperative follow-up visits revealed normal insulin and glucose levels with no recurrence of hypoglycemic symptoms.