Is pneumonectomy still necessary?

Surgical resection of lung cancer is the mainstay in patients with a curative intent. In centrally located lung cancers, pneumonectomy is indicated in case of clear involvement of different lobes or central broncho-vascular structures. However, a parenchyma-sparing surgical option including sleeve resection of the bronchus, the pulmonary artery or both was proven to be valid in centrally-located non-small cell lung cancer (NSCLC) (1).