Shenzhen People’s Hospital minimally invasive thoracic surgery development status 1, after nearly 20 years of development, Shenzhen People’s Hospital thoracic surgery has formed minimally invasive thoracic surgery, comprehensive treatment of lung cancer and other 5 major advantages direction. The department’s core advantage of minimally invasive thoracic surgery has formed multi-level and individualized minimally invasive solutions covering thoracoscopic-assisted small incision, three-hole full thoracoscopic operation, double-hole full thoracoscopic operation (most experts call it single operation hole), single-hole full thoracoscopic lobectomy, radical lung cancer treatment, etc. The cumulative number of completed cases is nearly 6000. Especially outstanding is the mature technology and optimized process of double-hole total thoracoscopic lobectomy, which has completed more than 400 cases, and the scale and technology are at the leading level in China. 2.Total thoracoscopic lobectomy has shown a trend to further reduce the number of operating ports and the length of the operating ports, thus further expanding the advantages of traditional total thoracoscopy (such as the most commonly used three holes in China at present), further reducing postoperative pain, abnormal chest wall sensation, reducing interference with immune function, rapid return to work, reducing hospitalization time and possibly reducing costs. 3. One of the biggest advantages of the current single-hole total thoracoscopic lobectomy is the significant relief of postoperative pain and chest wall sensory abnormalities. Possible mechanism: affecting only one intercostal space and minimizing the possibility of intercostal nerve injury without the use of a lumpectomy puncturer. 4. Performing a single-port total thoracoscopic lobectomy requires a thoracoscopic surgeon with extensive experience and experience in anterior small incision techniques, double-port total lumpectomy lobectomy techniques, and single-port simple thoracic surgery techniques to perform. After completing nearly 6,000 minimally invasive small incisions, more than 400 double-port total thoracoscopic lobectomies, and more than 100 single-port simple thoracoscopic procedures (including pleural tumors, mediastinal tumors, spontaneous pneumothorax, wedge resection of pulmonary nodules, mediastinal lymph node biopsy, etc.), we completed our first case of left lower lung bronchiectomy with single-port total thoracoscopic left lower lobectomy on August 16, 2013. On September 18, 2013, we completed the first single-port total thoracoscopic radical left lower lung cancer surgery (left lower lung lobectomy plus systemic hilar mediastinal lymphodissection), and removed the chest tube on the first postoperative day and discharged on the third postoperative day. 4. Since the implementation of the single-port total thoracoscopic technique, more than 100 cases of single-port total thoracoscopic surgery have been successfully completed, including nearly 20 cases of single-port total thoracoscopic lobectomy and radical lung cancer surgery. From the retrospective analysis of clinical data, patients’ subjective feelings and family members’ feedback, the technique is feasible, safe, and also meets the requirements for radical treatment, fully meeting the technical standards of double-port, and equally importantly, patients’ perioperative pain and other discomfort disturbances are further reduced. The advantages of single-port total thoracoscopic lobectomy over double-port total thoracoscopic lobectomy are further highlighted.