Subxiphoid lobectomy is a sign that single-port thoracoscopic surgery has reached a certain level, right? Single-port thoracoscopy has some advantages in the surgical treatment of the more frequent ground glass lesions and microscopic lung nodules. Last year, more than 150 cases of single-port lung lobes were completed, so the surgery is already relatively mature, but there are still relatively few single-port subxiphoid procedures. A few months ago, we performed a subxiphoid lobectomy. In the future, we should carry out more subxiphoid uniportal surgery when there are suitable cases. From the traditional large incision to three or five small holes, the field of medical surgery continues to march towards minimally invasive, which is of great benefit in reducing surgical complications and speeding up post-operative recovery, but puts forward higher requirements for the surgeon. Recently, the Department of Thoracic Surgery of Lee Wai Lee Hospital successfully carried out a single-port subxiphoid thoracoscopic radical lung tumor treatment, which can be said to be “more minimally invasive than minimally invasive”, and this operation is the leading level in China, and only very few hospitals in China have carried out such an incision. Therefore, the success of this surgery means that the level of thoracic surgery in our city has reached a new height. Yesterday, in the city of Li Huili thoracic surgery ward, the reporter met the 47-year-old patient Ms. Hu. A week ago, she was diagnosed with a “right lower lung mass” and needed surgery as soon as possible. After considering the results of several tests, the experts decided to perform a single-port thoracoscopic surgery via the subxiphoid process for the intrapulmonary lesion. This surgery is more minimally invasive than conventional thoracoscopic surgery. Ms. Hu was worried about the pain associated with the surgery: “I am most afraid of pain, and I didn’t quite believe it when I heard the doctor say that this surgery only required one hole and was basically less painful.” As a result, after the surgery, Ms. Hu did not even frown. Her pain score was only two or three points, that is, slight pain at the incision, and on the first day after the operation, she could get out of bed, and on the third day after the operation, the pain basically disappeared. In contrast, some patients in the same ward were in pain even before the anesthetic had passed. The chief surgeon is Tian Hui, the chief physician of thoracic surgery of Lee Wai Lee Hospital. He introduced that as the incidence of lung tumors is increasing year by year, the surgical methods and surgical techniques for lung tumors are also changing. How to reduce intraoperative damage, if to reduce postoperative pain and how to promote postoperative recovery are the main concerns of thoracic surgeons. ”The traditional surgery is to open a large incision from the posterior and lateral side, and people talk about surgery, mainly referring to this kind of surgery as well.” Tian Hui said, “Conventional thoracoscopic surgery, on the other hand, is to punch 3 or 4 holes in the corresponding parts, which is already a great progress compared to opening a large knife.” However, in clinical practice, doctors have found that thoracoscopic surgery often goes through the intercostal space, causing damage to the intercostal nerves, which in turn causes acute and chronic pain in patients after surgery. In mild cases, the pain subsides after a few months. In severe cases, the pain was two to three years and daily life was affected. By changing from multi-hole to single-hole and from chest wall incision to subxiphoid incision, on the one hand, intraoperative injury is reduced, and on the other hand, the operation does not pass through the intercostal space and does not damage the intercostal nerve, which not only reduces postoperative pain, but also protects the patient’s respiratory function, and the postoperative cough and sputum, early bed activity are significantly reduced, and postoperative recovery is significantly accelerated.