Esophageal cancer represents a major public health problem worldwideand often requires extensive surgery, so, radical surgery offers the most realisticchance of cure. Many open approaches for esophagectomy were being appliedalong the previous decades with their known and sometimes unavoidablemorbidities.The recent introduction of the minimally invasive esophagectomy was agreat evolution that carried a great chance of radical and even palliativeresections of the esophagus with the minimum morbidity.The advantages of minimally invasive esophagectomy over openprocedures are in the form of decrease in operative blood loss, length of stay,pulmonary complications, and narcotic requirements. Moreover, it limits theinflammatory response and the physiologic stress associated with openresection.