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Introduction. The radical antegrade modular pancreatosplenectomy (RAMPS) procedure was introduced as a modification of standard retrograde pancreatosplenectomy (SRPS). It was designed to establish a new surgical approach, with intension to increase possibility of achieving negative posterior (retroperitoneal) resection margin, as well as to provide complete N1-lymph node clearance. Outline of cases. We present two cases with diagnosed left-sided pancreatic tumors, who were surgically treated indoi:10.2298/sarh200330109d fatcat:4qtbqais2rg7fl7dzowmwb7vau