How to do robotic Ivor Lewis esophagectomy for lower third oesophageal cancer BackgroundIn patients with lower third oesophageal cancer, transthoracic subtotal esophagectomy with two-field lymph node (mediastinal and abdominal) and monobloc posterior mediastinectomy is the reference treatment, so-called Ivor Lewis esophagectomy. 1 Minimally invasive surgery, with laparoscopic gastrolysis, is recommended as it is responsible for fewer respiratory complications and provides oncology results comparable to open surgery. 2 The benefit of the thoracoscopic approach remains to be demonstrated even if results suggest its interest on the surgical suites. 3 MethodsThis video shows a 69-year-old male patient with a non-metastatic lower third oesophageal cancer away from the gastro-oesophageal junction classified T3N0M0. The length of oesophageal involvement was 3 cm. After preoperative radio-chemotherapy of 41.4 Gy with weekly paclitaxel-carboplatin, it was decided to perform full robotic Ivor Lewis esophagectomy using da Vinci Xi surgical system (Intuitive,

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