Comparison of survival outcomes between radical antegrade modular pancreato-splenectomy (RAMPS) and conventional distal pancreato-splenectomy for pancreatic body and tail cancer

Abstract

Background: Radical antegrade modular pancreatosplenectomy (RAMPS) is a modification of distal pancreatectomy for complete N1 lymph node dissection and adequate posterior margin. The ultimate goal is an improvement of survival in left-side pancreatic cancer. However, the survival benefit of the RAMPS is unclear. Aim of this study is to evaluate the survival benefit of RAMPS, compared to conventional distal pancreatectomy (cDP). Methods: A retrospective analysis of 333 patients who underwent RAMPS or cDP for left-sided pancreatic cancer at