Ikeda [14] reported a case of a 53-year-old hemoptysis male patient with a 25-year history of tuberculosis, imaging showed destruction of the upper middle lobe of the right lung, and fibronectomy revealed stenosis of the right main and middle bronchus. A postero-lateral incision was made with extensive intrathoracic adhesions. In addition to the destruction of the upper and middle lobes of the right lung, the dorsal segment of the lower lobe was also destroyed on exploration. The patient underwent S6 segment resection and right upper and middle lobe sleeve resection: right upper and middle lobectomy and S6 segment were removed, and the stenotic bronchus from the proximal right main bronchus to the right basal bronchial inlet segment was resected. The right main bronchus was sutured with a 4/0 polypropylene suture to close the membranous portion of the incisive end of the right main bronchus so that the port became round and flattened to match the diameter of the incisive end of the basal bronchial entrance, and then end-to-end anastomosis was performed without any problems. Bronchoscopic examination 6 weeks after surgery showed good healing and no stenosis at the anastomosis. The authors concluded that the treatment of the main bronchial membrane and the coverage of the tipped intercostal muscle at the anastomosis site were the key points for the success of the operation. Jin Feng, Department of Thoracic Surgery, Shandong Provincial Chest Hospital