Thoracic surgery in Norway 2011
Norwegian Association for Cardiothoracic Surgery
Norwegian register for general thoracic surgery.
Steinar Solberg, MD, PhD.
Department of Thoracic and Cardiovascular Surgery
Thoracic operations* reported
1093 1085 1205 1265 1361 1328 1325
1568
0 200 400 600 800 1000 1200 1400 1600 1800
2004 2005 2006 2007 2008 2009 2010 2011
*Non-cardial thoracic surgery / general thoracic surgery
N u m b e r o f o p e ra ti o n s
Number of operations per hospital per year
391
293 274
182 183
109
56 80
0 50 100 150 200 250 300 350 400 450
Ri ksh osp
Ul le vå l
AH US
Tr He im
uke la nd
Tr om sø
St ava ng er
Bo dø
2007
2008
2009
2010
2011
Accesses used
906
480
102
46 0
100 200 300 400 500 600 700 800 900 1000
Thoracotomies Thoracoscopies Mediastinoscopies Sternotomies
2007
2008
2009
2010
2011
Underlying diagnosis
697
129
63
209
24
93 51 69
130
24 12
67 0
100 200 300 400 500 600 700 800
Mal. Tumor
Pneumothorax
Sweating / flushing
Metastases
Uncertain tumor
Benign tumor
Int. lung disease
Infection (deep)
Deformities
Injury
TOS
Other
Number of operations 2008
2009 2010 2011
Organ operated upon
1062
147 168
86 65 28 10 1
0 200 400 600 800 1000 1200
Lung
Mediastinum
Chest wall
Pleura
Nerve tissue
Thymus
Th. appertur
Trachea
Number of operations 2008
2009 2010 2011
Selected operations performed
185
113
8
61
110
42 31 27
14 0
20 40 60 80 100 120 140 160 180 200
Diag. / Biopsy
Bullectomy
Rubbing / pleurectomy
Sympatectomy
Corr. Th.wall
Decortication
Opr. tumor outside lung
Thymectomy
Res. 1. costa
Number of operations
2008 2009 2010 2011
Operations for lung cancer
366 349
433 450
502 521
490
604
0 100 200 300 400 500 600 700
2004 2005 2006 2007 2008 2009 2010 2011
Number of operations
Number of operations for lung cancer per hospitalet per year
0 20 40 60 80 100 120 140 160
2007 2008 2009 2010 2011
Rikshosp
Ullevål
AHUS
TrHeim
Haukeland
Tromsø
Stavanger
Bodø
3710 operations for Lung Cancer 2003-2011 Weekdays
808
938 946
754
239
15 10
0 100 200 300 400 500 600 700 800 900 1000
Mo Tu We Th Fr Sa Su
N u m b er o f o p er at io n s
3710 operations for Lung Cancer 2003-2011 Months
336
304
351
242
308 317 319 337
314 289 318
275
0 50 100 150 200 250 300 350 400
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
N u m b er o f o p er at io n s
Side- and lobe for 554 operations for lung cancer 2011
183
34
113 134
0
90
0 20 40 60 80 100 120 140 160 180 200
Upper Midle Lower
Number of operations
Right Left
Procedures performed in surgery for lung cancer
12
57 47
433
53
14 0
50 100 150 200 250 300 350 400 450 500
Only exploration
Pneumonectom y
Bi-lobectomy
Lobectomy
Sub-lobar res
Bronchoplasty
Number of operations
2007 2008 2009 2010 2011
VATS-lobectomies for lung cancer
0 10 20 30 40 50 60
2004 2005 2006 2007 2008 2009 2010 2011
N um be r of op er at ion s pe rf orm ed by V A TS -l ob ec tom ie s (ba rs )
0 1 2 3 4 5 6 7 8 9
P er ce nt age of l un g ca nc er op er at ion s pe rf orm ed by V A TS ( li ne )
Number VATS lobectomies% VATS lobectomies
Operations for lung cancer - males and females
0 50 100 150 200 250 300 350
2004 2005 2006 2007 2008 2009 2010 2011
Number of operations
0 10 20 30 40 50 60
Per cent females
Males Females
% females
2006 2007 2008 2009 2010 2011
Females 63
(33 – 82)
65
(26 – 82)
65
(19 – 85)
66
(35 – 85)
66
(17 – 85)
66
(20 – 85)
Males 68
(25 – 82)
66
(25 – 86)
66
(20 – 85)
68
(27 – 87)
68
(32 – 85)
68
(23 – 85)
Median (min – max) age for patients operated
for lung cancer 2006 - 2011
The number and percentage of patients operated for lung cancer beeing 80 years or older
0 5 10 15 20 25 30 35
2004 2005 2006 2007 2008 2009 2010 2011
N um be r of op er at ion s
0 1 2 3 4 5 6 7
P er ce nt age
The number
Percentage
Operations for primary lung cancer (LUCA) and lung metastases (LUMET)
54 83 87
130
185
139 156 187
0 100 200 300 400 500 600 700
2004 2005 2006 2007 2008 2009 2010 2011
Number of operations
0 5 10 15 20 25 30
Per cent LUMET
LUCA LUMET
% LUMET
Resections for lung metastases
152
29
3 1
0 20 40 60 80 100 120 140 160
Sub-lobar res Lobectomy Bi-lobectomy Pneumonectomy
Number of operations
2007 2008 2009 2010 2011
