A Case of Esophageal Cancer with a Metastatic Right No.104 Lymph Node and Suspected Common Carotid Artery Invasion Successfully Resected via a Transcervical-Thoracic Approach

Key Points

• To report a case of esophageal cancer with lymph node metastasis and evaluate the surgical intervention approach.
• Performed a transcervical-thoracic surgical resection after chemoradiotherapy for esophageal cancer.
• Utilized ultrasound guidance for lymphadenectomy while preserving adjacent critical structures.
• Assessed local disease control and surgical outcomes post-operatively.
• Successfully resected the lymph node metastasis and tumor with preserved common carotid artery and recurrent laryngeal nerve.
• Post-operative rehabilitation showed mild shoulder joint dysfunction after clavicle resection.
• Achieved reduction in primary tumor size, indicating positive response to prior chemoradiotherapy.