BACKGROUND: Recently, preoperative endoscopic ultrasonography (EUS) was shown to be less time consuming, posing less risk of adverse events than other more invasive diagnostic procedures used for locating @entity9608 . Furthermore, laparoscopy can be part of a less aggressive approach in the management of such @entity5 , avoiding open surgery, which is used all out of proportion for benign small-size lesions, as @entity9608 frequently are. CASE REPORT: The reported case of @entity788 involved a 45-year-old @entity1 suffering from a @entity751 . @entity5 location was possible with endoscopic ultrasonography, which detected a hypoechoic 10 x 10-mm mass in the pancreatic tail. @entity5 enucleation was accomplished laparoscopically. CONCLUSIONS: @entity9608 may be managed with videolaparoscopy, but this approach, which is not applicable for multiple or @entity5 , must be contraindicated also in @entity9608 located on the posterior wall or deeply in the head of the pancreas. The disadvantages of the laparoscopic approach, as compared with conventional surgery, are the absence of palpation and difficulty exploring the whole pancreas, which is partly overcome, but not completely eliminated, by EUS. The advantages are the absence of a parietal incision and good postoperative comfort. The reported low-invasive EUS laparoscopy sequence may be successful in selected cases of @entity788 . However, it seems this treatment could be proposed for many @entity1 affected by this benign disease.

Minimally invasive XXXX . A case report.

@entity1 :: ('9606', 'Species') :: ['woman', 'patients'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatic insulinomas', 'pancreatic insulinoma'] @entity9608 :: ('MESH:D007340', 'Disease') :: ['Insulinomas', 'insulinomas', 'single insulinomas'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignant tumors', 'Tumor', 'tumors'] @entity751 :: ('MESH:D013577', 'Disease') :: ['neuroglycopenic syndrome']
@entity9608 :: (MESH:D007340,Disease) :: ['management of insulinomas']
