With the invention of differential pressure for intrathoracic operations a large number of enthusiastic workers have battled with the problem of helping the unfortunates who are suffering from carcinoma of the esophagus. It has been a long and hard struggle, full of disappointments, and it seemed for a time that the surgeon would be vanquished on this battlefield with a foe so unrelentless and cruel. For nine years our surgical profession has fought against seemingly unsurmountable odds, until Torek proved that a full victory could be gained surgically over this dreaded disease by complete exenteration of the esophagus in cases of carcinoma. A second success was scored by Eggers by the same method. Both of these cases were presented to this society last year at its meeting in Rochester, Minn. In our early endeavors to resect the esophagus it was natural to try to find a method of reuniting the