ABSTRACT
<p><b>BACKGROUND</b>To study the significance of pneumonectomy via intrapericardial vascular management in the surgical treatment of lung cancer.</p><p><b>METHODS</b>A total of 56 patients with central-type lung cancer underwent pneumonectomy via intrapericardial vascular management.</p><p><b>RESULTS</b>The incidence of postoperative complications was 8.93%(5/56). One patient died and the mortality rate was 1.97%. The postoperative follow up rate was 96.4%. The 1-, 3- and 5-year survival rates were 72.7%(40/55), 31.4%(11/35) and 17.4% (4/23) respectively.</p><p><b>CONCLUSIONS</b>Pneumonectomy via intrapericardial vascular management is safe and can improve the resection rate. It might provide a basis for the further treatment of lung cancer and should be widely applied.</p>