一组晚期中心型肺癌病例，１２例皆为Ⅲ期ａ或Ⅲ期ｂ肺门部冻结之病变。手术采取切开心包膜，切除部分心包，在心包腔内处理纵隔段肺血管及纵隔支气管施全肺切除术，手术均获成功。作者认为心包内全肺切除使原来不能常规在胸腔内进行全肺切除的一部分晚期病例获得了手术机会，扩大了手术适应症，提高了切除率，延长了生存期，是晚期中心型肺癌外科治疗的有效手段。 In a group of late-stage central lung cancers, 12 cases were stage III or stage III b hilar frozen lesions. The operation was performed by cutting the pericardium, removing part of the pericardium, and treating the pulmonary septum of the mediastinum and the pneumonitis of the mediastinal bronchus in the pericardial cavity. All the operations were successful. The authors believe that intrapericardial pneumonectomy has provided surgical access to a subset of advanced cases that could not routinely undergo pneumonectomy in the chest cavity, expanded surgical indications, increased resection rates, and prolonged survival. It is a surgical treatment for advanced central lung cancer. Effective means.