Replacement of the hypopharynx and cervical portion of the esophagus after resection for a malignant lesion has presented sufficient problems to justify a search for better methods. It has been more than 80 years since Czerny in 1877 first successfully resected a carcinoma from the cervical portion of the esophagus. Since then many ingenious methods of replacement have been devised, but no single method has found general acceptance. Impetus for the use of transplants of isolated segments of hollow viscera to accomplish replacement has been provided by reports of encouraging success with anastomoses of small vessels.
Jacobson and Suarez described excellent results with microsuturing techniques and demonstrated the feasibility of successfully anastomosing vessels as small as 1.4 mm in outside diameter. Good results have recently been reported3,19,24 from use of the nonsuture method of Blakemore and Lord with cylinder prostheses. Holt and Lewis have devised a successful method using