Abstract: Objective To investigate the role of pneumonectomy in the treatment on patients with lung cancer.Methods We reviewed 655 consecutive patients with lung cancer treated with pneumonectomy between October 1994 and November 2003.Results The survival rates for 1,3,5 years in these patients were 88.02%,50.09% and 24.1%,respectively.The 5-year survival rates for different pTNM stage of cases were as follows: stage Ⅰa 37.0%,Ⅰb 40.6%,Ⅱa 0%,Ⅱb 37.9%,Ⅲa 19.3%,Ⅲb 7.0%,Ⅳ17.7%.The 5-year survival rate for NSCLC was 24.5%,and that for SCLC was 22.0%.The postoperative mortality and complication were 2.4% and 10.4%,respectively.Conclusion On the basis of strict indication and practiced thoracic operation,the pneumonectomy showed acceptable postoperative complication and mortality,it would be a effective method in treatment on middle and advanced stage of lung cancer.

Key words: Lung neoplasme, Pneumonectomy