Laparoscopic Enucleation of a Nonfunctioning Neuroendocrine Tumor at the Head of the Pancreas

OBJECTIVE Laparoscopy is a safe, feasible technique for benign pancreatic pathologies and has been increasingly reported for neuroendocrine tumors located at the body and tail of the pancreas. We report a case of successful enucleation of a nonfunctioning neuroendocrine tumor located at the head of the pancreas, in a patient with multiple endocrine neoplasia type I. METHODS A 5-cm nonfunctioning neuroendocrine tumor at the pancreatic head was identified by computerized tomography scan. Laparoscopic ultrasound did not reveal additional tumors on any other part of the pancreas. RESULTS Enucleation was successfully performed for this solitary tumor because of its favorable position. Histology revealed an islet cell tumor. No postoperative complications occurred and recovery was rapid. CONCLUSION Laparoscopic enucleation of neuroendocrine tumor at the pancreatic head is safe and feasible for select patients.