Anaesthetic Management for Hand Assisted Laparoscopic Enucleation of Pancreatic Insulinoma

who are not surgical candidates or who otherwise have inoperable tumour. The definitive treatment is surgical removal of the adenoma or either subtotal or total pancreatectomy. Most patients with benign Insulinoma can be cured with surgery 3 . Laparoscopic approach has been applied in the management of patients with pancreatic disease. In this patient pancreatic insulinoma was successfully enucleated by laparoscope. Persistent or recurrent hypoglycemia after surgery tends to occur in patients with multiple tumors. About 2% of patients develop diabetes mellitus after surgery.