Combining Appleby with RAMPS – Laparoscopic Radical Antegrade Modular Pancreatosplenectomy with Celiac Trunk Resection

ConclusionL-RAMPS and modified Appleby procedure is a curative option for patients with distal pancreatic cancers that invade the celiac trunk and in whom the tumor biology is well controlled. A preplanned approach with 3D reconstruction accounting for organ displacement due to pneumoperitoneum optimizes surgical decision making and port placement for visual alignment caudally along the SMA.
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research