The techniques of cardiac surgery are used to address the scope of surgical resection of central lung cancer, and we have performed such procedures for many patients. Removal of lung cancer involving the trachea and pulmonary artery trunk used to be a total lung resection with great patient loss and unmanageable postoperative infection if it occurred. Now it can be cleverly solved by removing a segment and then anastomosing it. This is the sleeve resection of trachea and pulmonary artery. A high level of surgical skill is required to circumvent the possible risks. We are now able to use this method skillfully, and some of it is our own creation.