title: Surgical management of adenocarcinoma of the pancreatic uncinate process in a cancer hospital in egypt.
abstract: BACKGROUND
  Pancreatic carcinoma affecting the uncinate process is a challenging surgical condition. Several considerations affect the management plan, including the need for vascular resection and the ability to achieve a clear margin.
  
  
  METHODS
  The data of 19 patients who had curative resection for pancreatic adenocarcinoma of the uncinate process were reviewed. Operative mortality and morbidity, and disease-free survival (DFS) were calculated.
  
  
  RESULTS
  The study population included 13 male and 6 female patients with a mean age of 55 years. Nine patients (47.4%) had stage I disease, seven patients (36.8%) had stage II disease, and three patients (15.8%) had stage III disease. A total of 12 patients had Whipple procedure and 7 patients had total pancreatectomy. In total, there were 9 R0 and 10 R1 resections. Operative mortality rate was 10.5% (2/19), postoperative leakage rate was 21.1% (4/19), and wound sepsis rate was 21.1%. Median DFS was 19.2 months. Survival was superior in the Whipple procedure group than in the total pancreatectomy group (median survival 19 months vs 4 months, respectively). Vascular resection and retroperitoneal safety margin status did not affect disease relapse.
  
  
  CONCLUSIONS
  Non-metastatic pancreatic adenocarcinoma of the uncinate process should be offered R0 or R1 resection whenever technically feasible.
authors: Surgical Oncology Department, Mansoura University Cancer Center, Mansoura, Egypt.
authors: Sameh
authors: S
authors: Roshdy
authors: Surgical Oncology Department, Mansoura University Cancer Center, Mansoura, Egypt.
authors: Osama
authors: O
authors: Hussein
authors: Surgical Oncology Department, Mansoura University Cancer Center, Mansoura, Egypt.
authors: Ahmed
authors: A
authors: Abdallah
authors: Surgical Oncology Department, Mansoura University Cancer Center, Mansoura, Egypt.
authors: Khaled
authors: K
authors: Abdel-Wahab
authors: Surgical Oncology Department, Mansoura University Cancer Center, Mansoura, Egypt.
authors: Ahmed
authors: A
authors: Senbel
keywords: pancreatic adenocarcinoma; safety margin; uncinate process; vascular resection
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