A 64 years old man was refered to us for a pharyngoesophageal cancer previously treated with RCT: After 17 months of wait and see for a complete response the cancer recurrence diagnosis was done. The only chance for the patient is surgery. A pharyngolayngo-esophagectomy was planned and we tried to reduce the surgical trauma using laparoscopy for the gastric pull up. A large neck incison was done to remove 'en-block' pharunx. Larynx, bilateral nodes and esophagus. The first step was done with the ENT surgeon. The base of the tong was prepared and a frosen section demonstrated non cancer cell spreading. Trocars were inserted in the abdomen and the gastric tube was prepared dividing the gastro-colic legament and the short gastric vessels. Left gastric artery was divided and the hiatus opened. Esophageal dissection was done without bleeding. The esophagus was removed 'en block' with parynx and laynx and all the nodes right and left. The gastric pull up was done and the anastomosis between the gastric tube and the tong-base was done with a running absorbable suture. Separeted stiches were given to secure the anastomosis.