胃癌在我国恶性肿瘤中死亡率占第一位,手术仍是唯一可能治愈的治疗方法~([1])。腹腔镜技术不断发展,日本于1991年首次报道腹腔镜辅助远端胃癌切除术,此后腹腔镜技术在胃癌手术中广泛应用,并将腹腔镜胃癌D2根治术用于治疗进展期胃癌,取得了较好的近期疗效~([2])。研究表明,腹腔镜胃癌D2手术能够达到与开腹手术相当的淋巴结清扫范围,淋 Gastric cancer is the leading cause of death in malignant tumors in our country. Surgical treatment is still the only treatment that may be cured ~ ([1]). Laparoscopic technology continues to develop, Japan first reported in laparoscopic-assisted distal gastric resection in 1991, after laparoscopic technique widely used in gastric surgery, and D2 radical laparoscopic gastric cancer for the treatment of advanced gastric cancer, and achieved more Good near-term effect ~ ([2]). Studies have shown that D2 surgery laparoscopic gastric surgery and open surgery can reach the equivalent range of lymph node dissection,