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Background: Many esophageal cancer patients with lymph node metastases during surgery are recommended for postoperative radiation therapy. However, postoperative radiation could cause many serious adverse reactions. Here, we introduce a new radical operation for esophageal cancer under bilateral thoracoscopy to reduce the adverse reactions of postoperative radiation.Case presentation: A 50-year-old man was diagnosed with Esophageal squamous cell carcinoma by gastroscopy. Because the tumor wasdoi:10.21203/rs.3.rs-197945/v1 fatcat:7ov2r6nryvhcbcu6fl2cp2hdii