ObjectiveS: Video-assisted thoracic surgery (VATS), hybrid VATS (hVATS) and thoracotomy (TH) are three major approaches for lung cancer surgery in China, involving an increasing order of invasiveness and trauma. The objective of this meta-analysis is to assess the relative clinical evidence of postoperative complications (POC) among the three surgical approaches. MethOdS: A thorough search of major electronic databases was conducted to identify studies through September 2017 reporting POC in Chinese population undergoing lung cancer surgery. Randomeffects meta-analysis was conducted using non-comparative binary data in RevMan software to estimate mean (95% CI) for POC rate.