| There are growing evidence that minimally invasive esophagectomy (MIE) combined various minimally invasive procedures including VATS, laparoscopy was helpful in lowering postoperative complications while providing similar oncological outcomes. Traditionally, all of the procedures including esophagectomy and esophageal reconstruction are performed with multi-port approaches. Currently, we described how these procedures can be performed with single-incision both in the laparoscopic and thoracoscopic phases. With patient and meticulous tissue dissection this complex surgical procedure can be safely and efficiently performed that provides equivalent perioperative outcome and reduces the postoperative pain. From our previous published results, there is no difference in perioperative outcome performed by multi-incision or single-incision MIE for the patients after esophagectomy. However, there is a significant reduction of postoperative pain in the 7 days after surgery. With accumulation of more clinical experience, we would observe its impact on long-term survival outcome of the patients. |
