Background: The isolate resection of the uncinate process of the pancreas is a rarely
described procedure but is an adequate surgery to treat benign and low grade malignancies
of the uncinate process of the pancreas.

Aim: To detail laparoscopic uncinatectomy technique and present the initial results.

Method: Patient is placed in supine position with the surgeon
between legs. Three 5-mm, one 10-mm and one 12-mm trocars were used to perform the
isolated resection of the uncinate process of the pancreas. Parenchymal transection is performed with harmonic scalpel. A hemostatic absorbable tissue is deployed over the area previously occupied by the uncinate process. A Waterman drain is placed.

Result: This procedure was applied to an asymptomatic 62-year-old male with biopsy proven low grade neuroendocrine tumor of the pancreatic uncinate process. A laparoscopic pancreaticoduodenectomy was proposed. During the initial surgical evaluation, intraoperative sonography was performed and disclosed that the lesion was a few millimeters away from the Wirsung. The option was to perform a laparoscopic uncinatectomy. Postoperative period until full recovery was swift and uneventful.

Conclusion: Laparoscopic uncinatectomy is a safe and efficient procedure when performed by surgical teams with large experience in minimally invasive biliopancreatic procedures.