The provider removes all or most of the esophagus, removes the upper part of the stomach, and frees up (mobilizes) the part of the esophagus behind the mediastinum (if that part remains) using laparoscopic access; he then uses an open cervical approach to connect the stomach to the pharynx (pharyngogastrostomy) or to the remnant of the esophagus (esophagogastrostomy). He may or may not perform a pyloric drainage procedure during the laparoscopic portion of the procedure.
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