Laparoscopic Distal Pancreatectomy with Splenectomy
Left-sided pancreatic cancer has poor prognosis because of the low resectibility. However, surgical resection remains the only chance for a potential long survival for these patients. Distal pancreatectomy with splenectomy is the standard resection procedure. While in 2003, Professor Strasberg introduced a modified distal pancreatectomy with splenectomy, radical antegrade modular pancreatosplenectomy (RAMPS) . It emphasizes on improving tangential margins as well as obtains enough N1 lymph node clearance for these patients. With recent years’ development, RAMPS has gained more and more consent in pancreatic surgeons. Theoretically, it has survival advantages over standard resection. However, because of the limited clinical cases, this should be proven future with more evidences .