LAPAROSCOPIC DISTAL PANCREATECTOMY BY RADICAL ANTEGRADE MODULAR PANCREATOSPLENECTOMY (RAMPS)
Alicia Gutierrez Zamorano*2, Paula Spang Valencia3, Gina Porrazzo1, Andrew Shaker1, John Stauffer1
1Surgery, Mayo Clinic, Jacksonville, FL; 2Universidad Anáhuac Norte, Jorge Jimenez, Cantu, Spain; 3Universidad de Navarra, Pamplona, Navarra, Spain
This video demonstrates a patient who presented with a large pancreatic tail mass biopsy proven to be pancreatic adenocarcinoma (PDAC) and treated with a 4 trocar laparoscopic distal pancreatectomy. Due to the large size and malignant nature of the lesion, Radical Antegrade Modular Pancreatosplenectomy (RAMPS) technique was used to ensure a complete resection with radial margin clearance. In a posterior RAMPS, the left adrenal gland and retroperitoneal tissue from the left renal vein to the diaphragm is cleared. Medially, a lymphadenectomy to the left of the celiac and superior mesenteric artery is performed.
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