Recently, after 12 days of post-operative care, 68-year-old Chen was discharged from Ningbo Second Hospital Thoracic Surgery Department. The completely thoracoscopic circumferential tracheal resection and reconstruction surgery performed by the surgical team led by Zhao Guofang, director of the hospital’s thoracic surgery department, became the first of its kind in China. “According to the Ningbo Medical Literature Search Center, the operation has not been reported internationally in the same category.” Hu Yaoren, vice president of operations at Ningbo Second Hospital, told reporters. According to reports, the patient, Chen Laobao, from Ninghai County, Ningbo, was a long-term smoker and began to quit smoking when he developed a cough and shortness of breath six months ago, but to no avail. Two days before he came to the hospital for medical treatment, he found blood in his sputum. After examination, he was diagnosed with tracheal tumor and possible squamous carcinoma; chronic obstructive pulmonary disease and pulmonary alveoli; bilateral old tuberculosis with extensive adhesions in the pleural cavity. And he also suffered from various diseases, such as severe iron deficiency anemia. After multidisciplinary consultation and discussion in the hospital, it was decided to perform surgery to remove the tracheal tumor on old man Chen. However, the traditional resection of lower tracheal tumor required an open incision on the right side, which was traumatic and took a long time for the patient to recover after surgery. “Considering that old uncle Chen is frail and sickly, with poor lung function, traditional surgery is afraid to be unbearable, we decided to perform minimally invasive full thoracoscopic surgery on the patient.” Zhao Guofang said. During the surgery, the doctor made only five small holes in the patient’s chest, the smallest of which was only 0.5 cm in diameter. The doctor sticks a camera through one of the light source holes and displays the situation inside the chest cavity on a two-dimensional TV screen through computer magnification. Looking at the screen, the doctor sticks the surgical instruments in through several other holes. Through the screen, the doctor could clearly see the trachea and other organs. Director Zhao Guofang, in close cooperation with anesthesiologist Hu Xuqai and assistant Dong Caijun, applied his skillful thoracoscopic surgical skills to separate pleural adhesions, dissect the trachea, and circumferentially remove a section of trachea where the tumor was located, which was about 3 cm long. The operation took more than 5 hours and the bleeding was less than 100 ml. The patient was able to sit up in the afternoon of the same day and was discharged from the hospital on the 12th day without any problems. It is understood that the use of thoracoscopy for tracheal surgery, which is still considered a complex surgery in the field of surgery, is still the first case in Zhejiang Province.