Objectives: To analyze the clinical features of unci-nate process carcinoma of the pancreas and to im-prove the resection rate.Methods: From January 1990 to June 1999, 10 pa-tients with pancreas uncinate process carcinoma re-ceived Whipple’s operation. Portal vein (PV) resec-tion 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 resec-tion.Results: Among the 7 patients undergoing PV resec-tion, 1 died of hepatic failure 3 days after operation.One patient suffered from postoperative chylous asci-tes. These 6 patients survived 13 to 29 months post-operatively. Among the 3 patients without PV resec-tion, 2 survived 13 months and 14 months respective-ly. One patient was alive by the end of follow-up for11. 5 months postoperatively.Conclusion: Although uncinate process carcinoma ofthe pancreas has a tendency to invade the adjacent PVand superior mesentery vein, it should not be simplyregarded as a contraindication of radical resection.
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