Dr. Hiroya Takeuchi provides a detailed overview of the Eastern approach to lymphadenectomy, with a strong emphasis on technical precision and surgical quality. The session explores advanced minimally invasive techniques, including thoracoscopic and robotic-assisted esophagectomy, and demonstrates meticulous mediastinal lymph node dissection—particularly around the recurrent laryngeal nerve. Additional insights include the strategies to reduce recurrent laryngeal nerve palsy, and emerging innovations such as AI-assisted surgical guidance. The included surgical videos demonstrate the technical aspects.