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| Surgical treatment for uncinate process carcinoma of the pancreas |
| Sen Li, Yong-Quan Pei, Fu-Tian Du, Guan-Yi Zhuang, Chun-You Li, Qin-Hua Song, Wei Ding and Jian-Li Wang |
From the Department of Hepatobiliary Surgery, Weifang People’s Hospital, Weifang 261041, China (Li S, Pei YQ, Du FT, Zhuang GY, Li CY, Song QH, Ding W and Wang JL)
Correspondence: Sen Li, MD (Tel: 86-536-8511326; Fax: 86-536-8232271; Email: lisen988@x263.net) |
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Abstract 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.
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2002, Vol. 1 
