January 20, doctors for the city of a 64-year-old male retired teacher successfully implemented a total thoracoscopic lobectomy, the successful implementation of the operation, to fill the city in this technology gap. The patient was found to have a mass shadow in his left lung during physical examination and was diagnosed as left upper lung tumor. The surgeon made two 1.5cm-long “keyholes” and a 5cm-long main operation hole in the patient’s chest wall, extended the thoracoscope with camera and corresponding surgical instruments into the patient’s thoracic cavity, and under the guidance of the TV thoracoscope, separated and cut off the blood vessels of the upper lobe of the left lung, bronchial tubes and underdeveloped lung fissures, and resected the upper lobe of the left lung and the system. The mediastinal lymph nodes were removed. The operation lasted 2 hours and 50 minutes, with bleeding of only a few dozen milliliters. The patient was able to sit on the bed and eat right after the operation, and got down to walk on the second day without complications such as pulmonary atelectasis and lung infection. Postoperative pathologic examination was squamous cell carcinoma, and the lobular bronchial margin was negative, suggesting complete resection. The patient is now cured and discharged from the hospital. This surgery has the advantages of small incision, light trauma, fast recovery, short hospitalization time, beautiful appearance, radical tumor resection, long-term survival rate comparable to conventional open heart surgery, etc. It marks that the technical level of the city’s thoracic cardiothoracic surgery has ranked among the advanced ranks in the province.