Laparoscopic RAMPS

Abstract

Pancreatic adenocarcinoma is very aggressive cancer. Laparoscopic treatment of this kind of cancer is developing and is being improved. Today there are a large number of studies that prove that laparoscopic treatment of left-side pancreatic cancer it`s a gold standard. Conventional retrograde distal pancreatectomy and splenectomy for pancreatic adenocarcinoma of the body and tail have been associated with high rates of positive margins, low lymph node retrieval, and poor overall survival. Radical antegrade modular pancreatosplenectomy (RAMPS) was introduced in 2003 to overcome these limitations. A systematic literature search was performed, and articles reviewed to determine that RAMPS or standard distal pancreatectomy and splenectomy offer better survival. This issue remains controversial today. One thing that has been precisely proven as an advantage of RAMPS is the removal of a larger number of regional lymph nodes. In National Cancer Institute of Ukraine, we started performing laparoscopic RAMPS in 2018 and in this video-presentation want to show our experience and our results. In National Cancer Institute of Ukraine, we started performing laparoscopic RAMPS in 2018. Today we have experience of 5 cases of RAMPS and one case of conversion. All patients underwent careful selection since we are at the stage of accumulating experience Laparoscopic RAMPS is feasible in performing minimally invasive, curative resection for well-selected left-sided pancreatic cancer.