Abstract: Objective: To investigate the methods and results of sleeve resection of bronchus and pulmonary artery in surgical treatment for central lung cancer. Methods: Between March 1995and July 2008, pulmonary artery sleeve resection combined with bronchus sleeve lobectomy was performed in27patients with central lung cancer that involved the bronchi -al opening of an upper lobe of the lungs or the main bronchus and pulmonary artery but didn't involve any lower lobes. Among them, left upper lobectomy was performed in 21cases, right medium-upper lobectomy was performed in 5 cases and right upper lobectomy was performed in 1 case. Results: Squamous cell carcinoma was found in 20cases, adenocarci-noma was found in 3 cases, small cell carcinoma (SCLC) was found in 3 cases, and adenosquamous carcinoma was found in 1 case. After surgery, arrhythmia occurred in 3 cases and obstructive pneumonia and pulmonary atelectasis oc -curred in 2 cases. One death occurred due to hemoptysis. The 1-, 3- and 5-year survival rates were 77.78% (21/27), 66.67% (8/12) and 75.0% (6/8), respectively. Conclusion: The double sleeve resection of bronchus and pulmonary artery can reserve a maximum amount of healthy lung while removing tumors and can at the same time avoid pneumonectomy. This procedure gives patients a better chance for a good quality of life after surgery.