Abstract
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) [1]. 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 [2].
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References
Strasberg SM, Drebin JA, Linehan D. Radical antegrade modular pancreatosplenectomy. Surgery. 2003;133:521–7.
Chun YS. Role of radical antegrade modular pancreatosplenectomy (RAMPS) and pancreatic cancer. Ann Surg Oncol. 2018;25:46–50.
Venkat R, Edil BH, Schulick RD, Lidor AO, Makary MA, Wolfgang CL. Laparoscopic distal pancreatectomy is associated with significantly less overall morbidity compared to the open technique: a systematic review and meta-analysis. Ann Surg. 2012;255:1048–59.
Ome Y, Hashida K, Yokota M, Nagahisa Y, Michio O, Kawamoto K. Laparoscopic radical antegrade modular pancreatosplenectomy for left-sided pancreatic cancer using the ligament of Treitz approach. Surg Endosc. 2017;31:4836–7.
Pessaux P, Varma D, Arnaud JP. Pancreaticoduodenectomy: superior mesenteric artery first approach. J Gastrointest Surg. 2006;10:607–11.
Kawabata Y, Hayashi H, Takai K, Kidani A, Tajima Y. Superior mesenteric artery-first approach in radical antegrade modular pancreatosplenectomy for borderline resectable pancreatic cancer: a technique to obtain negative tangential margins. J Am Coll Surg. 2015;220:e49–54.
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Zhang, YH. (2020). Laparoscopic Distal Pancreatectomy with Splenectomy. In: Liu, Yb. (eds) Surgical Atlas of Pancreatic Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-32-9864-4_13
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DOI: https://doi.org/10.1007/978-981-32-9864-4_13
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