This chapter discusses minimally invasive distal pancreatectomy with celiac artery resection (DP-CAR), a challenging procedure originally described for gastric cancer patients. With advancements in perioperative chemotherapy and surgical techniques, minimally invasive DP-CAR is now feasible for select patients with tumors of the pancreatic neck and body. Historical evolution and outcomes are reviewed, highlighting improved survival rates with DP-CAR. Perioperative complications, including hemorrhage and gastric ischemia, are addressed, emphasizing the importance of careful patient selection and preoperative assessment. The manuscript details the robotic surgical technique for DP-CAR, emphasizing positioning, port placement, and step-by-step surgical procedures. Neoadjuvant therapy, preoperative adjuncts, and perioperative care strategies are discussed to optimize outcomes. Despite its complexity, minimally invasive DP-CAR offers a viable option for pancreatic cancer patients, particularly when performed at high-volume centers with experienced surgeons.