Radical antegrade modular pancreatosplenectomy (RAMPS) - report of two cases and review of the literature

Vladimir Dugalic, Jelena Kovac, Milica Mitrovic, Boris Tadic, Igor Ignjatovic
2020 Srpski Arhiv za Celokupno Lekarstvo  
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 in
more » ... rgically treated in our HPB department. Both patients underwent posterior RAMPS procedure. Postoperative course was uneventful in both patients. Conclusion. RAMPS is a safe procedure, because it provides complete vascular and bleeding control. It is superior procedure in oncologic terms comparing to SRPS, because it increases the rate of R0 resection, and provides larger number of lymph nodes harvested. Furthermore, RAMPS is associated with better overall survival.
doi:10.2298/sarh200330109d fatcat:4qtbqais2rg7fl7dzowmwb7vau