Single-port thoracoscopic subxiphoid resection of bilateral pulmonary alveoli “in the morning, I feel a burst of pain in my chest, breathing is very uncomfortable, every breath in the front and back will hurt, like being beaten.” Mr. Chen, 24, was recently haunted by inexplicable chest pain and went to Gaozhou People’s Hospital for examination before uncovering the “culprit”: left and right upper lung alveoli and right pneumothorax, after the successful implementation of “single-port thoracoscopic subxiphoid double upper lung alveolysis” in the hospital’s thoracic surgery. Only a small incision of 3 cm was left in the subxiphoid process to solve the double pulmonary alveoli, and he was discharged from the hospital recently. Mr. Chen from Xinyang Town, Gaozhou City, working in Dongguan City, recently had frequent right-sided chest pain, which could not be relieved after resting and increased after activity, and went to a hospital in Dongguan City for chest X-ray and was diagnosed as “right-sided liquid pneumothorax”. Because of the unfamiliarity of Dongguan, coupled with the high cost can not afford, Mr. Chen had to quit his job and go home to treat the disease. Mr. Chen to the high city people’s hospital thoracic surgery examination, doctors found that Mr. Chen’s left and right upper lung respectively have a “longan nucleus” large alveoli, the most effective way to treat the alveoli is surgery to remove. In the past, an incision of about 25 cm was needed on the left and right side of the chest to perform double alveolar resection, which could also damage the intercostal nerves and cause chronic pain, chest numbness and other postoperative complications; while the “minimally invasive thoracoscopic double alveolar resection” carried out by Gaozhou People’s Hospital in 2004 required the opening of 2 to 3 small holes on each side of the patient’s left and right sides. 2 to 3 small holes on each side of the patient’s left and right sides, greatly reducing the pain of open surgery, but also inconvenience: intraoperative need to turn over, suture one side after turning over to do the other side, it is very easy to compress the wound caused by bleeding, infection, etc.. Chen Ying, deputy director of thoracic surgery at Gaozhou People’s Hospital, and Chen Gang, director of thoracic surgery at Guangdong Provincial People’s Hospital, teamed up to perform a new surgical procedure for Mr. Chen, “single-port thoracoscopic subxiphoid double upper lung alveoloplasty”, which only requires a small 3 cm-long incision in the subxiphoid process of the chest to remove the left and right upper lung alveoli. The bleeding was only 10 ml, and the patient could get out of bed the next day after surgery. According to Chen Ying, deputy director of thoracic surgery at Gaocheng People’s Hospital, the “single-port thoracoscopic subxiphoid double upper lung alveoloplasty” is the first of its kind in the hospital, and it solves the problem of both lungs through just one incision. Only a small incision of 3 cm is left under the subxiphoid process to avoid postoperative paralysis and chronic pain caused by damage to the intercostal nerves.