During the surgery, doctors remove lymph nodes near the voice box nerve and in the area between the aorta and pulmonary artery.

The surgery involves carefully removing tissue around the esophagus and nearby lymph nodes in the lower chest area, working from multiple directions to avoid damaging important structures.

The surgery starts with a small cut (4 cm) on the left side of the neck near the muscle that runs from the collarbone to the ear, to access the esophagus.

This surgery is recommended for people with esophageal cancer who need lymph node removal in the chest, especially if they have lung problems or had previous chest surgery.

While the chest part of the surgery is happening, another team is working on the stomach in the abdomen to prepare it for the new connection.