After nearly a decade of accumulation, the first thoracoscopic radical esophageal cancer surgery in Shenzhen was completed yesterday. The patient’s lesion was located at the level of the aortic arch, with a diameter of 2cm, and did not invade the muscular layer. Four small holes of 1.5cm in diameter were made in the chest, and the whole esophagus was freed and the mediastinal lymph nodes were cleared in 1 hour and 45 minutes. The stomach was freed open and a gastric tube was made and pulled to the neck for anastomosis. Conventional esophageal cancer surgery involves a 20cm incision in the chest and sometimes cutting off the rib cage, which causes heavy pain, slow recovery and much drainage. In contrast, thoracoscopic surgery is not only a small incision, but also a small trauma, and the patient’s chest drainage is less than 100ml on the first day, which is incomparable to open-heart surgery. In the past ten years, through continuous participation in domestic minimally invasive thoracic surgery societies, we have been absorbing the latest advances in minimally invasive thoracic surgery at home and abroad, starting from pulmonary herpes, from a few hours at the beginning to ten minutes for the main operation steps, gradually performing thoracoscopic underhand sweating, lung wedge resection, mediastinal tumor resection, thymoma resection, to full thoracoscopic lobectomy in the last two years, to yesterday’s full thoracoscopic esophageal cancer From the last two years, the whole thoracoscopic lung lobectomy to yesterday’s whole thoracoscopic esophageal cancer radical surgery, we have walked step by step and have many feelings. The main point is to put the patient’s interest as the center and progress step by step.