Corrosive oesophageal stricture is commonly encountered in developing countries. Historically resection of strictured oesophagus was feared due to adhesions but with minimally invasive surgery it is possible to resect esophagus.. A 19 year female patient with history of bed bug poisoning presented with complete dysphagia. On endoscopy there was upper thoracic esophageal stricture. Endoscopic dilatation of esophagus was tried at first but failed. Since her cervical oesophagus was not diseased and considering her young age for the risk of malignancy in long term, thoracoscopic oesophagectomy was done. There were no perioperative complications. Patient doing well on follow up.
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