Abstract:Laparoscopic radical gastrectomy has developed for more than 20 years since its inception. With the extension of the concept of minimally invasive surgery and the continuous innovation of laparoscopic instruments, laparoscopic gastrectomy for gastric cancer has been widely carried out around the world. In our country, laparoscopic gastric surgery began relatively late, but great progress has also been made, and yet, the technical levels of laparoscopic radical gastrectomy are dissimilar, which affects the clinical efficacy seriously. Here, the authors provide an overview of how to successfully perform a laparoscopic radical gastrectomy, and propose the concept of iFIST that consists of the “strict indications”, “clear and bloodless surgical field”, “adequate peritoneal irrigation”, “intact specimens”, and “totally laparoscopic operation”.