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１９８１～１９９６年收治非功能性胰岛细胞瘤２７例。首发症状为腹部肿块１０例，腹部不适与肿块１１例，急性胰腺炎表现者３例，腹部不适与梗阻性黄疸者３例。行Ｂ超检查２７例中２０例（７４．１％）定位准确。行ＣＴ检查１５例均显示肿物，１３例（８６．７％）定位准确。行ＥＲＰ检查４例，于肿物存在部位主胰管受压、移位。２７例中肿瘤位于胰头部１５例，恶性４例中２例行胰头十二指肠切除术，２例行探查术；良性１１例中６例行肿瘤摘除，５例行胰头十二指肠切除术。肿瘤位于胰体尾部１２例均为良性，１０例行包括肿瘤在内的远侧胰腺及脾切除术，肿瘤摘除及保留脾脏的胰体尾切除术各１例。全组无手术死亡。随访：良性肿瘤２３例术后随访４个月至１５年均存活。恶性４例中２例行胰头十二指肠切除术后随访４～５年存活，行探查术２例于术后６及９个月死于癌转移。
From 1981 to 1996, 27 cases of nonfunctioning islet cell tumors were treated. The first symptoms were abdominal mass in 10 cases, abdominal discomfort and mass in 11 cases, acute pancreatitis in 3 cases, abdominal discomfort and obstructive jaundice in 3 cases. Twenty-seven of 27 cases (74.1%) underwent B-ultrasound examination were accurately located. CT scans showed masses in 15 cases, and 13 cases (86.7%) were accurately located. Four patients underwent ERP examination and the main pancreatic duct was compressed and displaced in the presence of the tumor. In 27 cases, the tumor was located in 15 cases of pancreatic head, 4 cases of malignant were performed in 2 cases of pancreaticoduodenectomy, and 2 cases underwent exploration; 6 of 11 cases were benign tumor removal and 5 cases of pancreatic head Intestinal resection. Twenty-nine patients were found to be benign in the body and tail of the pancreas. Ten patients underwent distal pancreas and splenectomy, including tumors. One patient had tumor removal and pancreatic body resection with preserved spleen. There was no operative death in the entire group. Follow-up: 23 cases of benign tumor survived after follow-up from 4 months to 15 years. Two of the 4 patients with malignancy underwent pancreaticoduodenectomy and survived for 4 to 5 years. Two patients underwent exploratory surgery and died of cancer metastasis 6 and 9 months after surgery.