Thoracic surgery in Norway 2013
Norwegian Association for Cardiothoracic Surgery
Norwegian register for general thoracic surgery.
Steinar Solberg, MD, PhD.
Thoracic operations* reported
1093 1085 1205 1265 1361 1328 1325
1568 1448 1513
0 200 400 600 800 1000 1200 1400 1600 1800
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
*Non-cardial thoracic surgery / general thoracic surgery
Nu m b e r o f o p e ra ti o n s
Number of operations per hospital per year
385
264 268
216
186
84
42 68
0 50 100 150 200 250 300 350 400 450
Riksh
osp Ullevål
AHUS
TrHeim
Hauke land
Tromsø
Stava nger
Bodø 2009 2010 2011 2012 2013
Accesses used
881
543
54 45
0 100 200 300 400 500 600 700 800 900 1000
2008
2009
2010
2011
2012
2013
Underlying diagnosis
658
130
73
180
33
89
30 80
130
11 15
84 0
100 200 300 400 500 600 700 800
Mal. Tu mor
Pneumothorax
eating / flushing
Metastases
Uncertain tumor
Benign tumor
Int. lung disease
Infection (deep)
Deformities
Injury
TOS
Other
Number of operations
2009 2010 2011 2012 2013
Organ operated upon
1039
94
189
72 75 36 6 2
0 200 400 600 800 1000 1200
Lung
Mediastinum
Chest wa ll
Pleura
Nerve tissue
Thymus
Th. appertur
Trachea
Number of operations 2009
2010 2011 2012 2013
Selected operations performed
105 120
7
74
109
35 37 37
16 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 2010
2011 2012 2013
Operations for lung cancer
366 349
433 450
502 521
490
604 590 601
0 100 200 300 400 500 600 700
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Number of operations
From the Cancer Registry of Norway, 2014
From the Cancer Registry of Norway, 2014
From the Cancer Registry of Norway, 2014
30 days mortality, in Norway
2011 - 2012: 1,2 %
Number of operations for lung cancer per hospital per year
0 20 40 60 80 100 120 140 160
2007 2008 2009 2010 2011 2012 2013
Rikshosp Ullevål AHUS TrHeim Haukeland Tromsø Stavanger Bodø
Procedures performed in surgery for lung cancer
10
57 45
434
36 8
0 50 100 150 200 250 300 350 400 450 500
Only exploration
Pneumonectomy
Bi-lobectomy
Lobec tom
y
Sub-lobar res
Bronchoplasty
Number of operations
2008 2009 2010 2011 2012 2013
Number of (bi)lobectomies and pneumonectomies for lung cancer performed by VATS
5 6 9
18
49 50
101
0 20 40 60 80 100 120
Number of VATS operations (bars)
0 2 4 6 8 10 12 14 16 18
% operations performed by VATS (line)
Number of operations performed by VATS
% of all operations performed by VATS
Operations for lung cancer - males and females
0 50 100 150 200 250 300 350
2007 2008 2009 2010 2011 2012 2013
0 10 20 30 40 50
Per cent females
Males Females
% females
2008 2009 2010 2011 2012 2013
Females 65
(19 – 85)
66
(35 – 85)
66
(17 – 85)
66
(20 – 85)
66
(19 – 87)
67
(30 - 85)
Males 66
(20 – 85)
68
(27 – 87)
68
(32 – 85)
68
(23 – 85)
67
(20 – 84)
69
(37 - 85)
Median (min – max) age for patients operated
for lung cancer 2008 - 2013
The number and percentage of patients operated for lung cancer beeing 80 years or older
0 5 10 15 20 25 30 35 40
2006 2007 2008 2009 2010 2011 2012 2013
Number of operations
0 1 2 3 4 5 6 7
Percentage
Number
Percent
Operations for primary lung cancer (LUCA) and lung metastases (LUMET)
130
185
139 156 187 184 166
0 100 200 300 400 500 600 700
Number of operations
0 5 10 15 20 25 30
Per cent LUMET
LUCA LUMET
% LUMET
Resections for lung metastases
108
25
2 0
0 20 40 60 80 100 120 140 160
Sub-lobar res Lobectomy Bi-lobectomy Pneumonectomy
Number of operations
2009 2010 2011 2012 2013
