[Lung Cancer Resection with Large Vessel Invasion and Its Perioperative Management]

In case of direct invasion to the large vessel of lung cancer, combined resection of the involved lobe and the large vessel with its reconstruction are needed for complete resection. It is most important to secure the center side of the invaded blood vessel during this operation. The approach to thoracic cavity is decided according to the approach of the center side of the invaded vessel. The cases of invasion to superior vena cava, subclavian artery, pulmonary artery, and pulmonary vein are discussed. The method of securing and clamping the above vessels are also important in case of injury of these vessels during surgery. After clamping the center side of the injured vessel, blood flow will be decreased and repairing the vessel will be accomplished with calm. Therefore, the method of securing the center side of the vessels is a technique should to be mastered for all thoracic surgeons.