Figure 5

To resect this centrally located tumor is also challenging (A) , but two cycles of gemcitabine combined with cisplatin made it possible to preserve lung tissue and avoid pneumonectomy (B) . During the resection, the right main pulmonary artery was successfully isolated and controlled (C). Finally, the procedure of right middle and lower lobectomy with bronchoplasty was performed (D), and the arterial margin was found to be free of tumor (E).