胃上部癌根治术中,需常规探查和清扫脾门淋巴结。本视频演示全胃切除、保留脾脏的脾门淋巴结清扫术。脾门淋巴结清扫手术要点如下:①游离脾周韧带,将脾移至腹腔外;②切断脾胃韧带,结扎胃短血管;③沿脾动、静脉远心端向近心端脉络化清扫 Upper gastric cancer radical surgery, routine exploration and dissection splenic lymph nodes. This video demonstrates total gastrectomy, retaining the spleen spleen lymph node dissection. Spleen lymph node dissection surgery points are as follows: ① free splenic ligament, the spleen moved to the outside of the abdominal cavity; ② cut off the spleen and stomach ligaments, ligation of the short gastric tube; ③ splenic moving, telecentric telecentric end to the venous network dissection