Wu from Taizhou, aged 48, found a shadow in his right lung 1 year ago and was considered to be a benign lesion at a local hospital. Recently, the lesion was found to be significantly larger than the original one and was confirmed to be an adenocarcinoma by puncture, so he was referred to our hospital for further treatment. After admission, he had another review of chest enhancement CT and found that Wu had a tumor of nearly 3.2 cm in his right middle lung. The director of cardiothoracic surgery, Jiang Hong, analyzed that the patient was young, with normal cardiopulmonary function, no distant metastasis, and the lymph nodes in the mediastinum could be cleared, and the surgery could be minimally invasive. Not long ago, on Christmas Day, under the personal guidance of Director Jiang Hong and with the assistance of Director Chen Shuping of the Department of Anesthesiology, Deputy Chief Physician Feng Xing of the Department of Cardiothoracic Surgery decided to perform thoracoscopic single-operator radical lung cancer surgery. During the operation, only a 3-cm incision and a 1-cm drainage incision were made on the right chest wall to complete the right middle lung resection and systematic mediastinal lymph node dissection. The patient is now recovering stably and is ready to be discharged from the hospital today with the drainage tube removed. Thoracoscopic lobectomy and lymph node dissection has become the standard treatment option for early stage lung cancer, and it is also the development direction and hot spot of thoracic surgery in recent years. At present, the common practice in the world and major hospitals in China is to perform thoracoscopic lobectomy with three or four operating holes, which has also become a routine procedure in our hospital. However, due to the large number of operating holes in this procedure, the patient’s chest wall pain is still heavy after surgery, and it is the pursuit of all thoracic surgeons to reduce the surgical trauma as much as possible while safeguarding the scope of surgical resection. At present, large domestic and international centers have started to try thoracoscopic single manipulation or single-port radical lung cancer surgery. This procedure reduces the patient’s postoperative pain significantly due to the reduction of one or two manipulation holes, which is conducive to the patient’s rapid recovery. However, this procedure also poses higher requirements for the operator, who needs a solid foundation of chest anatomy and skilled microscopic operation technique to complete this difficult surgery. Recently, under the leadership of Jiang Hong, director of cardiothoracic surgery, and with the support of Li Hu, director of cardiothoracic surgery, and Wang Guoqing, director of cardiothoracic surgery, the department of cardiothoracic surgery aims at the frontier, strives for perfection, and focuses on building minimally invasive features and brands. At present, the successful development of thoracoscopic surgery marks our hospital’s thoracoscopic technology among the domestic advanced and provincial advanced level.