Unilateral or bilateral chronic fibro-cavitary pulmonary tuberculosis with hemoptysis is common in clinical practice, because the lesions can be scattered in several lung lobes or the body is too poor to be treated by lobectomy. If the source of recurrent hemoptysis can be identified by fiberoptic bronchoscopy or bronchial arteriography, minimally invasive surgery to collapse the peripheral lung tissue of the cavity and drain the cavity with an internal tube may be a better treatment. We have treated several similar cases with good results, and one of them is reported below. The patient, a 58-year-old male, had been treated surgically for tuberculous abscess chest in a local hospital 7 years ago, after which he developed a recurrence of abscess chest with bronchopleural fistula and was cured by thoracoplasty on the basis of anti-tuberculosis medication. This was considered to be an old tuberculosis cavity with mixed infection. The treatment with anti-tuberculosis and anti-infective drugs was not effective, so surgery was performed. Considering that the patient had two chest surgeries, the affected side of the thorax was deformed, and the pleural fibrous plate in the pleural cavity was thickened with calcification, but the rest of the lung quality was still acceptable except for the right upper lung cavity lesion with a diameter of about 2.5~75px. So we took a high window in the anterior chest wall, separated the adhesions around the lesion and broke open the cavity wall, cleaned up the contents and the cavity wall and implanted a chest tube, and the patient was discharged home a few days later. The patient’s symptoms, such as hemoptysis and pus, disappeared and he resumed normal life.