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.

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.

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.

Having two surgical teams work together during the procedure might make the surgery faster.

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