Intraoperative Visualization of the Common Bile Duct During Laparoscopic Near-Total Pancreactectomy Using Indocyanine Green Fluorescence Imaging in an Infant with Congenital Hyperinsulinism: How to Do It

Introduction: Congenital hyperinsulinism (CHI), or nesidioblastosis, is the most common cause of severe persistent hypoglycemia in neonates. When left untreated, CHI may cause serious brain damage and could eventually even lead to death.1 In case of diffuse hyperinsulinism, when all beta cells are inappropriately over-secreting insulin, a near-total pancreatectomy may be indicated. With the goal of resecting 95% to 98% of the pancreas, only a...