本文报告了手术治疗胰岛素瘤14例,9例作腺瘤摘除术,5例行胰腺体尾部切除术。12例痊愈,2例手术后复发低血糖。6例作术中血糖监测,于肿瘤切除后均出现高血糖反跳。1例术中静脉滴注美兰,帮助寻找肿瘤。本文阐述了术中仔细检查整个胰腺的步骤,及血糖监测和静脉滴注美兰的方法。 This article reports 14 cases of surgical treatment of insulinoma, 9 cases of adenoma removal, and 5 cases of pancreatic body and tail. 12 patients recovered and 2 had recurrence of hypoglycemia after surgery. Six patients underwent intraoperative blood glucose monitoring and experienced hyperglycemic rebound after tumor resection. Intravenous instillation of methylene blue in one case helped find the tumor. This article describes the steps to carefully examine the entire pancreas during surgery, as well as blood glucose monitoring and intravenous drip Meilan methods.