Abstract: Objective: To increase the resection rate of non-small cell central lung cancer, reduce the pneumonectomy rates, and to achieve for radical resection the same effect that pneumonectomy chieves. Methods: Forty-nine patients with non-small cell central lung cancer underwent vascular re-construction. Forty-three of the 49 patients had epidermoid carcinoma and 6 had adenocarcinoma. Vas-cular reconstruction was performed following left upper lobectomy (n=21), right upper lobectomy (n=6),and right upper-middle lobectomy (n=22). Results: There was no intraoperative mortality. One patient had postoperative bronchopleural fistula, and the others had no postoperative complications. The 1-and 3-year survival rates were 89% and 39%, respectively. Conclusion: Vascular reconstruction after ex-tensive tumor tissue resection to remove non-small cell central lung cancer helps retain maximum pul-monary function.