A Case of Two-Stage Combined Resection of Cervical Esophageal Cancer with Bulky Right Supraclavicular Lymph Node Metastasis Invading the Right Common Carotid Artery

R0 resection has been reported to be an important prognostic factor for the treatment of T4 esophageal cancer, Here, we report a resected case of cervical esophageal cancer with bulky right supraclavicular lymph node metastasis infiltrating the right brachiocephalic trunk. A combined arterial resection of metastatic lymph node with artificial vessel replacement preceded the primary tumor resection because simultaneous resection or reconstruction of the digestive tract could cause a fatal infection at the replaced artificial vessel. R0 resection was eventually achieved without any postoperative infectious complications. In the combined arterial resection of locally advanced esophageal cancer, a two-stage operation with a different surgical field setting might be useful to prevent fatal infection at the replaced artificial vessel.