由于脾脏上极与胃底关系紧密，在全胃或近端胃手术脾门淋巴结清扫过程中，脾脏上极清扫时易因视野受限和过度牵拉导致脾上极出血。通过游离胃后间隙到达脾脏上极，先从脾脏上极头侧腹膜开窗，自上而下优先处理脾脏上极胃短血管的"胃短先行"脾门淋巴结清扫策略，可降低脾门淋巴结清扫难度和术中脾门出血事件风险。

Given the close anatomical proximity between the superior spleen and the gastric fundus, the clearance of splenic hilar lymph nodes during total or proximal gastrectomy procedures can lead to bleeding from the superior spleen due to restricted visibility and excessive traction. By accessing the superior spleen through the retrogastric space and creating a peritoneal window on the cranial side of the superior spleen, employing the "gastric short vessel first" strategy for the sequential clearance of splenic hilar lymph nodes from top to bottom can effectively mitigate the challenges associated with this procedure and reduce the risk of intraoperative bleeding incidents.