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Background  Resection of primary esophageal cancer following previous pneumonectomy is a challenging procedure and was scarcely reported.    Case presentation  Here we report a case in which reduced thoracic space was used in left transthoracic esophagectomy to counter the difficulties caused by previous left pneumonectomy.    Conclusion  Retrograde dissection and infra-diaphragmatic esophagogastric anastomosis are examples of using postpneumonectomy changes to facilitate subsequent transthoracic esophagectomy for cancers of the lower esophagus.

Postpneumonectomy transthoracic Esophagectomy – a case report: using anatomic change to create Extrathoracic Esophagogastric anastomosis