**4. Conclusion**

Despite technological improvement and adoption of minimally invasive techniques, the fashion of esophagogastric anastomosis remains a point of controversy as well as the Achilles heel of minimally invasive esophagectomy. More multicenter randomized clinical trials are necessary to establish the indications of each technique as well as basic principles of patient safety. In addition, apart from the debate regarding optimal anastomosis technique, attention should be paid to the learning curve of the described methods, which should be smoothed through well-structured training programs.
