１９９３～１９９８年，我们对右上肺中央型肺癌，应用袖状肺叶切除方法完成８例手术，其中２例同时行右肺动脉的袖状切除，无重要并发症。本文就支气管间断缝合、褥式外翻缝合、套入式的三种缝合方法进行比较，各有其优缺点。视肺癌的大小、侵及范围确定其缝合的方法。预防术后并发症，尤其是吻合瘘是重要的，肿瘤侵及肺动脉时，不作勉强分离，以防大出血。应用肺动脉袖状切除方法是可取的。 From 1993 to 1998, we performed 8 cases of central lung cancer of the right upper lung using sleeve-like lobectomy. Two of them underwent sleeve-like resection of the right pulmonary artery at the same time. No major complications occurred. This article compares the three kinds of suturing methods: interrupted suture of the bronchus, esophageal esophageal suture and nested suture, each has its own advantages and disadvantages. Determine the method of suturing depending on the size and invasion of lung cancer. Prevention of postoperative complications, especially anastomotic fistulae, is important. When tumors invade the pulmonary artery, they are not separated by force to prevent major bleeding. Applying pulmonary sleeve sleeve removal is desirable.