Threeteen patients of lung cancer of center type underwent carinal resections in our department from January 1985 to December 1996. There were 3 patients, T3N2M0 and 10 patients, T4N2M0. Palliative resections were performed for 3 patients and radical resections, for 10 patients. Carinal resection with right pneumonectomy was done in 3 patients, part carinal resection with right pneumonectomy 6 patients, part carinal resection with left pneumonectomy 1 case, and part carinal resection with right sleeve upper and middle lobectomy 3 patients. There were no operative complications and deaths. The 3-year survival rate was 54% and the 5-year survival rates, 30%. One patient has survived for 8 years. The satisfied results of operative therapy were followed when no lymph node metastesis in mediastinum and mass could be resected.