How do you contour distal esophageal cancer in the postop setting after Ivor-Lewis pT3N3 (perigastric and periesophageal LN)?

This case is a tough one--bulky disease at the junction of the esophagus and stomach so both sets of regional lymph nodes are involved. The Ivor-Lewis or transthoracic approach means that the anastomosis between remaining esophagus and stomach is located in the chest.

The anastomoses need to be inclu...