Minimally invasive techniques have emerged as a dominant trend in surgical management of pancreatic tumors. Radical antegrade modular pancreatosplenectomy (RAMPS), by standardizing dissection along the renal fascia/adrenal plane and employing an antegrade modular resection approach, significantly improves oncological outcomes in distal pancreatectomy (DP) for pancreatic cancer. However, it still has core challenges such as instrumental limitations and controversies regarding the optimal lymphadenectomy extent. Based on multicenter evidence and our institutional surgical experience, this article systematically addresses three key aspects: the current research status, critical technical controversies, and future technological innovations. To provide a theoretical basis and clinical decision-making framework for the standardized implementation of minimally invasive RAMPS, promote prospective studies validating the oncological benefits of robotic-assisted technology.