Lin JX, et al. - D2 lymphadenectomy including No.10 lymph nodes (LNs) is the standard procedure for treating advanced gastric cancer (AGC) via total gastrectomy. This study was planned to determine the effect of dissecting the posterior lymph nodes along the splenic vessels (No.10p LNs) during total gastrectomy with D2 lymphadenectomy for advanced gastric cancer. Although No.10p LN dissection might retrieve more No.10 LNs, operation times were longer, and the number of positive No.10 LNs and the overall survival (OS) rate were not improved. Researchers suggested dissecting No.10p LNs as unnecessary during total gastrectomy with D2 lymphadenectomy for AGC.