The scope of laparoscopic lymph node dissection for locally advanced upper gastric cancer (LAUGC) must be the same as its open surgery. Generally speaking

the dissection with laparoscopic surgery

including splenic hilar lymph node dissection as its important part

is quite difficult. At present

this operation is still in the exploratory stage. Evidence shows that its short-term effect is satisfying

but the long-term outcome is still controversial. Strict indications

skilled laparoscopic operation techniques

stable surgical team and procedural operation process are the basic guarantee for the success of laparoscopic surgery.