摘要篇首： Patients with thoracic malignancies invading the superior vena cava (SVC) and innominate vein that cause venous flow obstruction have a poor quality of life and short survival time. Dartevelle et al1 reported that the 3-year survival rates were 27% for patients with mediastinal malignancies and non-small cell lung cancer.Recently, some surgeons' experience suggested that the results of extensive resection and reconstruction of the SVC and innominate vein were excellent.2-4 From May 2003 to December 2005, radical resection and reconstruction of the SVC and/or innominate vein were performed in a group of patients for mediastinal or lung tumors invading the superior vena cava and/or innominate vein. We reported our experience in this retrospective study to explore the operative method, the optimal vascular graft, and the benefits of extended resection and reconstruction of SVC and/or innominate vein for invasive thoracic tumors.