The provider removes two–thirds of the lower esophagus and part of the upper part of the stomach, after freeing up (mobilizing) the lower part of the esophagus behind the mediastinum and in the abdomen using laparoscopic access; he then mobilizes the upper two–thirds of the esophagus and connects the stomach to the remnant of the esophagus (esophagogastrostomy) through a thoracoscopic approach. He may or may not perform a pyloric drainage procedure during the laparoscopic portion of the procedure.
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