{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T14:58:29Z","timestamp":1775833109488,"version":"3.50.1"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T00:00:00Z","timestamp":1650240000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016243","name":"Teikyo University School of Medicine Graduate School of Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016243","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Most insulinomas are benign and solitary, with a tumor diameter less than 2 cm; therefore, laparoscopic enucleation, which is a minimally invasive procedure that can preserve the pancreatic parenchyma, is considered an optimal procedure. The key to enucleation is to avoid injury to the main pancreatic duct (MPD). Herein, we present a case in which single-incision laparoscopic enucleation (SILE) was performed for insulinomas, with preoperative nasopancreatic stent (NPS) placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A male patient in his fifties underwent SILE for insulinomas. To prevent injury to the MPD, an NPS was preoperatively placed. All surgical procedures were performed through a single mini-laparotomy site in the umbilicus. NPS placement facilitated identification of the MPD under laparoscopic ultrasonography. Enucleation was successfully completed without any injury to the MPD, and the NPS was removed immediately after confirming that there was no injury to the MPD by the NPS via pancreatography. The postoperative course was uneventful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>This report serves to highlight the maximum safety and minimal invasiveness of SILE with the preoperative NPS placement. Preoperative NPS placement is useful for avoiding injury to the MPD during enucleation and has the merit of helping to recognize whether leakage occurs by intraoperative pancreatography via the NPS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Preoperative NPS placement helps to ensure the safe enucleation of pancreatic insulinomas even in single-incision laparoscopic surgery, with minimal invasiveness and better cosmetic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107115","type":"journal-article","created":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T12:38:56Z","timestamp":1650544736000},"page":"107115","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Single-incision laparoscopic enucleation for pancreatic insulinoma with preoperative nasopancreatic stent placement"],"prefix":"10.1097","volume":"94","author":[{"given":"Hiroyuki","family":"Tsukayama","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeyuki","family":"Misawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Koenuma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rie","family":"Kondo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroe","family":"Toyoda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Shibuya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keita","family":"Wada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiji","family":"Sano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-116-20260304","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.4253\/wjge.v7.i16.1197","article-title":"Pancreatic insulinomas: laparoscopic management","volume":"7","author":"Antonakis","year":"2015","journal-title":"World J. Gastrointest. Endosc"},{"key":"R2-116-20260304","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1111\/ans.16450","article-title":"Laparoscopic enucleation of pancreatic tumours: a single-institution experience of 66 cases","volume":"91","author":"Xu","year":"2021","journal-title":"ANZ J. Surg"},{"key":"R3-116-20260304","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/00129689-200108000-00011","article-title":"Laparoscopic enucleation of insulinoma in the pancreas: case report and review of the literature","volume":"11","author":"Furihata","year":"2001","journal-title":"Surg. Laparosc. Endosc. Percutan. Tech"},{"key":"R4-116-20260304","doi-asserted-by":"crossref","first-page":"227s","DOI":"10.1016\/S0753-3322(02)00238-X","article-title":"Minimally invasive endocrine surgery: laparoscopic resection of insulinomas","volume":"56","author":"Iihara","year":"2002","journal-title":"Biomed. Pharmacother"},{"key":"R5-116-20260304","doi-asserted-by":"crossref","first-page":"2796","DOI":"10.1007\/s00464-020-07501-y","article-title":"Endoscopic placement of pancreatic stent for \"Deep\" pancreatic enucleations operative technique and preliminary experience at two high-volume centers","volume":"34","author":"Giuliani","year":"2020","journal-title":"Surg. Endosc"},{"key":"R6-116-20260304","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R7-116-20260304","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1001\/archsurg.2011.1843","article-title":"Surgical management of insulinomas: short- and long-term outcomes after enucleations and pancreatic resections","volume":"147","author":"Crippa","year":"2012","journal-title":"Arch. 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