Radical Antegrade modular Pancreato-Splenectomy [ramps] procedure with celiac trunk resection case report

ABSTRACT

Carcinoma of the body and tail of the pancreas considered one of the most challenging tumors due its retroperitoneal location and neighboring major blood vessels. Therefore, it is often presents at an advanced stage and is deemed unresectable in the majority of patients. The traditional approach of left-to-right Pancreato-Splenectomy is associated with a high positive tangential margin rate, is not based on the described lymph node drainage of the organ, and is associated with high recurrence rate. In 2003, Strasberg SM described a novel approach for resection of this part of the pancreas called Radical Antegrade Modular Pancreato-Splenectomy [RAMPS] which was introduced to obtain a higher rate of negative tangential margins and a higher lymph node count. This is a case report of pancreatic tumor with celiac trunk invasion treated by the new RAMPS procedure with celiac trunk resection. Patient discharged home on fifth postoperative day, follow up reveals recurrence free survival one year later