In conclusion, an Ivor Lewis esophagogastrectomy is a safe surgical approach for esophageal cancer. The technique allows direct visualization and resection of most of the lymph node stations at risk. Survival is stage-dependent and, unfortunately, is low in advanced stages. The increased systemic recurrence warrants the continuing search for multimodality therapy. The authors hope that this series can serve as a baseline for comparison of new and more curative therapeutic options.