The operative technique of blunt dissection of the esophagus is described, in which opening the thorax to remove the total esophagus is not necessary. This procedure is indicated in carcinoma of the laryngopharynx and carcinoma of the proximal and distal third, in lye strictures, and scleroderma of the esophagus. Blunt dissection is advantageous because it contains less risk compared to operations with opening of the pleural and abdominal cavities. In malignomas blunt dissection can be more radical than tumor resection. For esophageal replacement we used the stomach, which was transformed into a tube supplied by the right gastric arteries.