BACKGROUNDTo introduce the experience of anaesthesia management of lobectomy combined with resection and reconstruction of superior vena cava (SVC) with graft in the treatment of lung cancer patients with superior vena cava syndrome.

METHODSUnder intubation and general anaesthesia, lobectomy combined with resection and reconstruction of superior vena cava with graft was carried out in 18 lung cancer patients with superior vena cava syndrom.

RESULTSThe anaesthesia was very stable and operation was smooth in all patients. All of the patients safely returned to intensive care unit. No symptom and sign of nervous system damage was found after anaesthesia consciousness in all patients.

CONCLUSIONSThe key of anaesthesia management is to maintain a stable hemodynamics and to decrease the pressure of superior vena cava, which is the key point of brain protection.