Precision surgery involves minimal invasion, careful dissection and organ protection. We will introduce a minimally invasive operation with maximum extent of organ protection on the basis of precision surgery. The video shows the process of the spleen-preserving distal pancreatectomy (Kimura). This patient is a 12-year-old girl. The chief complaint is epigastric pain for two months. The computed tomography indicates a mass of pancreas tail. Pre- and post-operative diagnosis are both solid pseudopapillary neoplasm. The body and tail of pancreas were resected using the Kimura technique via laparoscopy. During the operation, the splenic vessels were separated carefully, and were blocked because of the severe tissue adhesion between the tumor and splenic vein, followed by tumor resection and splenic vein repair. The amylase value in drains on POD1 was 2526.2 U/L, and in-hospital stay after operation was 8 days.