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Updated: Aug 30, 2026
Management of the Uncinate Process in No-Touch Laparoscopic Pancreaticoduodenectomy
Published on: May 5, 2023
Surgical treatment for uncinate process carcinoma of the pancreas
Sen Li1, Yong-Quan Pei, Fu-Tian Du
1Department of Hepatobiliary Surgery, Weifang People's Hospital, Weifang 261041, China. lisen988@x263.net
Objectives:
To analyze the clinical features of uncinate process carcinoma of the pancreas and to improve the resection rate.
Methods:
From January 1990 to June 1999, 10 patients with pancreas uncinate process carcinoma received Whipple's operation. Portal vein (PV) resection and reanastomosis were performed in 5 patients, and the resected length varied from 2.0 to 4.2 cm. Two patients underwent PV lateral wall partial resection.
Results:
Among the 7 patients undergoing PV resection, 1 died of hepatic failure 3 days after operation. One patient suffered from postoperative chylous ascites. These 6 patients survived 13 to 29 months postoperatively. Among the 3 patients without PV resection, 2 survived 13 months and 14 months respectively. One patient was alive by the end of follow-up for 11.5 months postoperatively.
Conclusion:
Although uncinate process carcinoma of the pancreas has a tendency to invade the adjacent PV and superior mesentery vein, it should not be simply regarded as a contraindication of radical resection.
