Surgical approach for lung cancer larger than 10 cm

Abstract

To discuss the surgical techniques for lung cancer larger than 10 cm. Via a modified anterolateral thoracotomy entered through the 4th or 5th intercostal space, intrapericardial access to pulmonary vessels was obtained for pneumonectomy or extended pneumonectomy in all patients, after excluding the feasibility of lobectomy. From March 2009 to October 2011, 13 consecutive patients with lung cancer larger than 10 cm, were admitted to surgical resection via this approach for intrapericardial pneumonectomy/extending pneumonectomy. The whole processes were smooth and without any major morbidity. The main approach for lung cancer larger than 10 cm is pneumonectomy. The key to surgical success is intrapericardial controlling of the hilum vascular. The modified anterolateral thoracotomy may facilitate this procedure.