case_images: PMC10800787_01
case_images: Surgical view and anatomic references directly after abdominal entry through a right (A) and left (B) lateral laparoscopic approach in sternal recumbency. A: adrenal gland; D: duodenum; K: kidney; L: liver; P: pancreas; S: spleen; T: tumor.
case_images: fvets-10-1278218-g002.jpg
case_images: PMC10800787_01_fvets-10-1278218-g002.jpg
case_images: fig2
case_images: During the pancreatectomy, the accessory pancreatic duct was most probably transected, based on intraoperative findings and anatomic location of the insulinoma (Figures 2A, 3A).
case_images: Laparoscopic image of the insulinoma situated in the affected pancreatic lobe during pancreatectomy in sternal recumbency in each patient. (A): Case 1, right flank approach, mid right lobe; (B): case 2, left flank approach, mid left lobe; (C): case 3, left flank approach, distal left lobe; (D): case 4, left flank approach, proximal left lobe. A: adrenal gland; D: duodenum; I: ileum; K: kidney; L: liver; P: pancreas; S: spleen; SV: splenic vein; T: tumor.
case_images: fvets-10-1278218-g003.jpg
case_images: PMC10800787_03_fvets-10-1278218-g003.jpg
case_images: fig3
case_images: A 3-portal left flank approach in sternal recumbency easily revealed the mass in the distal left pancreatic lobe (Figure 3C), which was excised using LigaSure  without damaging the closely associated splenic vein.
case_images: PMC10800787_02
case_images: Laparoscopic image of the insulinoma situated in the affected pancreatic lobe during pancreatectomy in sternal recumbency in each patient. (A): Case 1, right flank approach, mid right lobe; (B): case 2, left flank approach, mid left lobe; (C): case 3, left flank approach, distal left lobe; (D): case 4, left flank approach, proximal left lobe. A: adrenal gland; D: duodenum; I: ileum; K: kidney; L: liver; P: pancreas; S: spleen; SV: splenic vein; T: tumor.
case_images: fvets-10-1278218-g003.jpg
case_images: PMC10800787_03_fvets-10-1278218-g003.jpg
case_images: fig3
case_images: A 3-portal left flank approach in sternal recumbency easily revealed the mass in the distal left pancreatic lobe (Figure 3C), which was excised using LigaSure  without damaging the closely associated splenic vein.
case_images: PMC10800787_03
case_images: Laparoscopic image of the insulinoma situated in the affected pancreatic lobe during pancreatectomy in sternal recumbency in each patient. (A): Case 1, right flank approach, mid right lobe; (B): case 2, left flank approach, mid left lobe; (C): case 3, left flank approach, distal left lobe; (D): case 4, left flank approach, proximal left lobe. A: adrenal gland; D: duodenum; I: ileum; K: kidney; L: liver; P: pancreas; S: spleen; SV: splenic vein; T: tumor.
case_images: fvets-10-1278218-g003.jpg
case_images: PMC10800787_03_fvets-10-1278218-g003.jpg
case_images: fig3
case_images: A 3-portal left flank approach in sternal recumbency easily revealed the mass in the distal left pancreatic lobe (Figure 3C), which was excised using LigaSure  without damaging the closely associated splenic vein.
case_images: PMC10800787_04