Abstract: In patients with stage IV nonsmall cell lung cancer（NSCLC），systematic treatments have been recommended.However，a series of studies have shown the effectiveness of lung surgery and local treatment for metastases on survival of oligometastatic NSCLC.The median survival time and 5year survival rate of brain metastatic patients were 11.894.8 months and 11.0%36.8%，respectively.Brain surgery could get the same effect on treating brain metastases compared with stereotactic radiosurgery.The median survival time and 5year survival rate of adrenal metastatic ones were 1266 months and 10.2%34.0%，respectively；ipsilateral metastases indicated a better survival.Laparoscopic surgery was a considerable choice for dealing with adrenal metastases.The ones with bones metastases got worse outcomes than brain and adrenal，but solitary vertebral metastases could get a median survival time of 20 months after surgery.Total enbloc resection could be used for the treatment of vertebral metastases.Lung stage with T12 and N01 were both favorable prognostic factors.We suggest that T12N01 lung cancer patients with brain，ipsilateral adrenal and solitary vertebral metastases could benefit from lung surgery and local treatment for metastases.

Key words: nonsmallcell lung cancer, surgery, oligometastases, prognosis