Introductory consultation with the anesthetist. Advancement of the 0° optic through the glottic plane into the trachea. Inconspicuous mucosal conditions in the area of the trachea up to the exit of the segmental bronchi. On reflection, inconspicuous mucosal conditions also in the area of the cervical trachea. Intubation of the patient. Inspection of the subglottis, glottis and supraglottis. Inconspicuous mucosal conditions on all sides. Inspection of the hypopharynx and the postcricoid region. The right hypopharynx and the postcricoid region show unremarkable mucosal conditions. In the region of the left hypopharynx, at the level of the entrance to the piriform sinus, there is a coarse mass which is centrally exulcerated and which is easily displaceable against the base. Beyond this, the mucosa is unremarkable. Inspection of the oropharynx and after pulling up the soft palate of the nasopharynx. Inconspicuous mucosal conditions here. No abnormalities in the oral cavity either. Advance the flexible endoscope into the stomach. Careful reflection back. Inconspicuous mucosal conditions in the area of the oesophagus. Adjustment of the findings described above with the small bore tube. From the aspect, the change appears to be benign. Now use the laser to cut around this process and remove it just inside the healthy area, as far as this can be clinically assessed. Careful hemostasis. Insertion of a gastric tube. Completion of the procedure. Final consultation with the anesthetist. Further procedure depending on the histology. The laser resection was performed using a microscope and an intensity of 1.5 - 3 watts.