Abstract: Laparoscopic surgery for upper-third gastric cancer has gradually been accepted by experienced surgeons as the mature of this technique. Different from the standardized and programmed D2 lymph node dissection in Laparoscopy assisted Billroth Ⅰ gastrectomy, the indications and methods for laparo scopic splenic hilar lymphadectomy in the upper third gastric cancer remains controversial. Unsolved problems include joint organs resection, appropriate surgical approach selection and variable vascular anatomy of the splenic hilum. Meanwhile, the long term efficacy and safety of laparoscopic splenic hilar lympha dectomy for the upper third gastric surgery need to be confirmed by evidence based medical trials. With the advance of the theory and clinical practice, laparoscopic splenic hilar lymph node dissection will continue to progress.