title: [Application of cardiopulmonary bypass during extended resection of locally advanced lung cancer].
abstract: BACKGROUND
  Locally advanced lung cancer includes IIIA and IIIB lung cancer that tumors are localized within the chest and with no clinic and pathologic distal metastasis. In this study the results of extended resection of a portion of heart or great vessels with cardiopulmonary bypass was summarized in the treatment of locally advanced lung cancer.
  
  
  METHODS
  Lobectomy or pneumonectomy combined with extended partial excision of the heart or great vessels were carried out in 10 patients with locally advanced lung cancer. The operations included aortic resection and reconstruction with left heart bypass in 2 cases, extended resection of left atrium with normal cardiopulmonary bypass in 5 cases, and resection and reconstruction of superior vena cava in 3 cases respectively.
  
  
  RESULTS
  The patients had no operative complication except for one haemothorax, which was controlled by re-exploration. One patient died of brain metastasis 6 months after operation and another one died of multiple metastasis 26 months after operation. The others were alive.
  
  
  CONCLUSIONS
  CPB is a safe and effective anesthetic procedure during extended resection of locally advanced lung cancer although it is controversial for aggravating operative trauma, complex technique and higher cost.
authors.affiliation: Department of Thoracic Surgery, Daping Hospital, The Third Military Medical University, Chongqing 400042, P.R.China.
authors.forename: Xiangli
authors.initials: X
authors.lastname: Liao
authors.forename: Shizhi
authors.initials: S
authors.lastname: Fan
authors.forename: Zhiping
authors.initials: Z
authors.lastname: Li
authors.forename: Jianming
authors.initials: J
authors.lastname: Chen
authors.forename: Huijun
authors.initials: H
authors.lastname: Niu
authors.forename: Yong
authors.initials: Y
authors.lastname: He
authors.forename: Yijie
authors.initials: Y
authors.lastname: Hu