Radical antegrade modular pancreatosplenectomy(RAMPS) has been applied more and more in clinical practice to improve the R0 resection rate in pancreatic body/tail adenocarcinoma.Comparing with traditional procedure, the resection plane in RAMPS is deeper with en-bloc resection of renal fascia, anterior renal fat capsule and even left adrenal gland and regional lymph nodes including No.7, 8, 9, 10, 11p, 11d, partial 14p/d, partial 16a2 and 18.Despite that RAMPS is in favor of improving R0 resection rate, there are many problems about this procedure unsolved and effect on patient survival is still awaited.