Minimally invasive radical pancreatectomy for left-sided pancreatic cancer: Current status and future perspectives

Figure 3 Potential indication for minimally invasive anterior radical antegrade modular pancreatosplenectomy. A 76-year-old female. A relatively pancreas-confined low density mass lesion is noted (arrow). The dotted white line indicates the dissection plane for minimally invasive anterior radical antegrade modular pancreatosplenectomy (RAMPS). The intact fascia layer between the pancreas and left adrenal gland/kidney can facilitate posterior margin clearance when removing the surgical specimen. The tumor is separated from the origin of the splenic artery, necessary for safe vascular control by introducing a minimally invasive technique. The patient underwent laparoscopic anterior RAMPS and has been followed for more than 1 year without evidence of tumor recurrence.