Thoracic surgery in Norway 2009
Norwegian Association for Cardiothoracic Surgery
Norwegian registry for general thoracic surgery.
Steinar Solberg, MD, PhD.
Department of Thoracic and Cardiovascular Surgery
Thoracic operations* reported
1093 1085
1205 1265
1361 1328
0 200 400 600 800 1000 1200 1400 1600
2004 2005 2006 2007 2008 2009
*Non-cardial thoracic surgery / general thoracic surgery
N u m b er o f o p er at io n s
Number of operations per hospital
359
232
202
167 177
95
42 54
0 50 100 150 200 250 300 350 400
ksh
osp Ullevål
AHUS
TrH eim
keland
Trom sø
vange r
Bodø 2004 2005 2006 2007 2008 2009
Mediastinoscopies performed
146
138 139
129
105
91
0 20 40 60 80 100 120 140 160
2004 2005 2006 2007 2008 2009
Number of operations
T horacoscopies performed
322
297
317
321 321
325
280 285 290 295 300 305 310 315 320 325 330
2004 2005 2006 2007 2008 2009
Number of operations
T horacotomies performed
568 582
702
791
881
802
0 100 200 300 400 500 600 700 800 900 1000
2004 2005 2006 2007 2008 2009
Number of operations
Sternotomies performed
39 40 39
54
44
48
0 10 20 30 40 50 60
2004 2005 2006 2007 2008 2009
Number of operations
Underlying diagnosis
606
116
54
150
17
81 59 50
95
10 11
79 0
100 200 300 400 500 600 700
Mal. Tum or
Pneumothor ax
Sweating / flus
hing
Metastases
Uncertain tumor Benign t
umor
Int. lung disease Infection
(dee p) Defo
rmities Injury
TO S
Other
Number of operations
2004 2005 2006 2007 2008 2009
Organ operated upon
902
123 132
73 56
21 11 6
0 100 200 300 400 500 600 700 800 900 1000
Lun g
Mediastinum
Ches t wall
Pleur a
Nerve tissue
Thym us
Th. appe rtur
Trachea
Number of operations
2004 2005 2006 2007 2008 2009
Operations for lung cancer
366 349
433 450
502 521
0 100 200 300 400 500 600
2004 2005 2006 2007 2008 2009
Number of operations
Side- and lobe for 470 operations for lung cancer 2009
147
33
79 135
0
76
0 20 40 60 80 100 120 140 160
Upper Midle Lower
Number of operations
Right Left
Procedures performed in surgery for lung cancer
14
48 33
373
46
15 0
50 100 150 200 250 300 350 400
Only exploration
Pneum onec
tomy
Bi-lobec tom
y
Lob ect
om y
Sub-
lobar res
Bronc hopl
asty
Number of procedures
2004 2005 2006 2007 2008 2009
Operations for lung cancer - males and females
214 202
264
235
260
283
152 147
167
211
242 238
0 50 100 150 200 250 300
2004 2005 2006 2007 2008 2009
Number of operations
0 10 20 30 40 50 60
Per cent females
Males Females
% females
Operations for lung cancer - males and females - age < 60 years
0 10 20 30 40 50 60 70
2004 2005 2006 2007 2008 2009
Number of operations
0 10 20 30 40 50 60
Per cent females
Males Females
% females
Mean age for patients operated for lung cancer 2003 – 2009
Females = 64.7 years (n = 1173)
Males = 66.1 years (n = 1498)
p = 0.0005
2005 2006 2007 2008 2009
Females 63
(24 – 82)
63
(33 – 82)
65
(26 – 82)
65
(19 – 85)
66
(35 – 85)
Males 68
(27 – 83)
68
(25 – 82)
66
(25 – 86)
66
(20 – 85)
68
(27 – 87)
Median (min – max) age for patients operated
for lung cancer 2005 - 2009
Operations for primary lung cancer (LUCA) and lung metastases (LUMET)
366 349
431 447
502 521
54
83 87
130
185
139
0 100 200 300 400 500 600
2004 2005 2006 2007 2008 2009
Number of operations
0 5 10 15 20 25 30
Per cent LUMET
LUCA LUMET
% LUMET
Resections for lung metastases
102
29
2 3
0 20 40 60 80 100 120 140 160
Sub-lobar res Lobectomy Bi-lobectomy Pneumonectomy
Number of operations
2004 2005 2006 2007 2008 2009
Selected operations
172
72
10
56 63
29 30
20 11
0 50 100 150 200 250
Diag. / Biopsy
Bullectomy
Rubbing /
pleurec tomy
Symp
atectomy
Corr. Th.wall
Decortication
Op r. tu
mor outsid e lu
ng
Thyme ctomy
Re
s. 1. co sta
Number of operations
2004 2005 2006 2007 2008 2009
Norwegian registry for general thoracic surgery.
Steinar Solberg, MD, PhD.
Department of Thoracic and Cardiovascular Surgery Rikshospitalet, 0027 Oslo, Norway
