摘要腹腔镜胃癌根治术已接近开腹手术的安全性及肿瘤学疗效，在胃癌的治疗中应用广泛。淋巴结清扫，尤其是胰腺上区淋巴结清扫是腹腔镜胃癌根治术的难点及重点。笔者探讨4K腹腔镜胃癌根治术中胰腺上区淋巴结清扫的适应证、手术准备、胰腺上区各淋巴结的分界及清扫标准，以及相关手术并发症，分享以右侧站位开展胰腺上区淋巴结清扫的经验及步骤。

abstractsAs the same safety and oncologic effect of open gastrectomy, laparoscopic radical gastrectomy has been widely used in the treatment of gastric cancer. Supra-pancreatic lymph node dissection is the key and difficult prospect in laparoscopic radical gastrectomy for gastric cancer. The authors investigate the indication, operative preparation, boundary of supra-pancreatic lymph nodes and dissected standard, surgical complication of 4K laparoscopic radical gastrectomy, and described the experience and operative procedures of supra-pancreatic lymph node dissection with the surgeon on right position.