The current role and technical aspects of pneumonectomy for the treatment of lung cancer are evaluated based on the personal experience and on the review of the international literature. Over a four-year period 669 operations for lung cancer were performed. Fifty-nine were pneumonectomies 11 of which were completion pneumonectomies and 7 tracheal sleeve right pneumonectomies 5 of which performed with the anesthesiological tube always kept in trachea. Overall postoperative mortality was about 10% for pneumonectomy, and about 16,6 % for completion pneumonectomy with a median survival rate of 21 and 26 months respectively. In agreement with reports of the international literature, it is confirmed that pneumonectomy is a high-risk thoracic surgical procedure and an accurate cardiovascular and respiratory evaluation is very important for patient selection.
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