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Tinghua Guan, Guobing Qiao, Shengke Cheng, Yifeng Zheng Department of Thoracic Surgery, The General Hospital of Western Theater Command, Chengdu, Sichuan Province, People’s Republic of ChinaCorrespondence: Yifeng Zheng, Department of Thoracic Surgery, The General Hospital of Western Theater Command, 270 Rongdu Road, Chengdu, Sichuan Province, People’s Republic of China, Tel/Fax +86-2886571069, Email zhengyifeng_xw@163.com Guobing Qiao, Department of Thoracic Surgery, The General Hospital of Western Theater Command, 270 Rongdu Road, Chengdu, Sichuan Province, People’s Republic of China, Tel/Fax +86-02886571068, Email qiaoguobing4945@163.comAbstract: A 60-year-old male farmer was admitted to the hospital with dysphagia for 2 months, and minimally invasive McKeown esophagectomy with lymphadenectomy was initially planned. However, congenital absence of the right gastroepiploic vessels (RGEVs) was blocked surgical procedure. Fortunately, we successfully performed esophagectomy and unconventional gastric remnant reconstruction without RGEVs, and intraoperative cervical venous superdrainage.Keywords: Esophageal cancer, esophagectomy, RGEVs, superdrainage