Abstract: Objective: To summarize the experience in surgical treatment of central lung cancer with bronchoplasty and pulmonary arterioplasty. Methods: From January 1998 to December 2006, 11 cases of central lung cancer with bronchial-pulmonary involvement received arterial sleeve resection and reconstruction. Left upper sleeve lobectomy was performed in 1 case, right upper sleeve lobectomy was performed in 4 cases, right upper-middle sleeve lobectomy was performed in 1 case, right upper sleeve lobectomy and pulmonary artery reconstruction were performed in 4 cases, and double right upper sleeve lobectomy was performed in 1 case. Results: There were no perioperative deaths (within 30 days) in this study. Three cases (27.3%) had postoperative complications. One case died at 1 year postoperatively and another died after 3 years. Conclusion: Bronchoplasty and pulmonary arterioplasty are safe, effective and feasible for selected patients with central lung cancer. They can significantly protect pulmonary function, improve the prognosis and increase the curative rate and long term survival in patients with central lung cancer.