• A robotic approach combined distal splenopancreatectomy and left nephrectomy in a complex case with renal infiltration from pancreatic adenocarcinoma.
• The procedure achieved negative margins and involved a multidisciplinary team to minimize conversion risk and enhance oncological outcomes.

The patient was discharged on postoperative day 6, indicating a favorable recovery.

• Pathology revealed T4 cancer with two positive lymph nodes, highlighting the need for careful patient selection in advanced cases.