The aim of the study was to detect peculiarities of peripheral lung cancer metastasis from one lobe to the other. The records of 26 patients were reviewed. The scheme of surgical treatment for peripheral cell lung cancer with the regard of the invasion surface area in the neighbouring lobe structures was developed. The lobectomy and resection of neighbouring lobe is recommended for patients with small peripheral lung cancer and 2 CM(2)-size invasion surface area in the neighbouring lobe structures. Wide resection of neighbouring lobe and dissection lymphatic nodes is recommended for patients with 2-4 CM(2)-size invasion surface area in the neighbouring lobe structures. A pneumonectomy is recommended for patients with more than 4 CM(2)-size invasion surface area in the neighbouring lobe structures.

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