Minimally Invasive Surgical Interventions in Treatment of Primary Persistent Hyperinsulinemic Hypoglycemia of Infancy

Hyperinsulinemia, diagnosed by laboratory tests, should be diagnosed and treated as soon as possible to prevent the fatal complications, such as neurologic damages. The ones who are resistant to medical therapy should be treated surgically. Minimally invasive surgery, a newly developed approach in surgery, is a good choice among the surgical procedures to avoid unnecessary extensive pancreatectomy. Here, we present a 12-years-old boy with diagnosis of hyperinsulinemic hypoglycemia who had recurrent attacks of hypoglycemia and seizure from infancy. Because of his unresponsiveness to medical therapy and his family’s preference, he underwent laparoscopic pancreatectomy in an extent of less than near total. Postsurgical follow up after one year revealed normo-glycemic state.