Thoracic surgery in Norway 2014
Norwegian Association for Cardiothoracic Surgery
Norwegian register for general thoracic surgery.
Steinar Solberg, MD, PhD.
Thoracic operations* reported
1085
1205 1265 1361 1328 1325
1568
1448 1513 1478
0 200 400 600 800 1000 1200 1400 1600 1800
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
*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
330
250 259
237
278
83
41
0 0
50 100 150 200 250 300 350 400 450
R iksh osp
U lle vå l
A H U S
Tr H ei m
H au ke la nd
Tr om sø
S ta va ng er
B od ø
2010
2011
2012
2013
2014
Accesses used
785
586
51 35
0 100 200 300 400 500 600 700 800 900 1000
Thoracotomies Thoracoscopies Mediastinoscopies Sternotomies
2010
2011
2012
2013
2014
Underlying diagnosis
653
109
70
191
62 66
22 56
124
14 14
96
0 100 200 300 400 500 600 700 800
Mal. Tu mor
Pneum othorax
Sweating / flushing
Metastases
Uncertain tumor
Benign tumor
Int. lung disease
Infection (deep)
Deformities
Injury
TO S
Other
Number of operations 2011
2012 2013 2014
Organ operated upon
1023
94
183
51 70 40 15 1
0 200 400 600 800 1000 1200
Lung
Mediastinum
Chest wall
Pleura
Nerve tissue
Thym us
Th. appertur
Trachea
Number of operations 2011
2012 2013 2014
Selected operations performed
100 89
6
70
100
27 35 40
16 0
20 40 60 80 100 120 140 160 180 200
Diag. / Biopsy
Bullectom y
Rubbing / pleurectom y
Sym
patectom y
Corr. Th.wall
Decortication
Opr. tum
or outside lung Thym
ectomy
Res. 1. costa
Number of operations
2011 2012 2013 2014
Operations for lung cancer
366 349
433 450
502 521
490
604 590 601 599
0 100 200 300 400 500 600 700
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Number of operations
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 2014
Rikshosp Ullevål AHUS TrHeim Haukeland Tromsø Stavanger Bodø
Procedures performed in surgery for lung cancer
8
45 52
445
42
6 0
50 100 150 200 250 300 350 400 450 500
Only exp loration
Pneum onect
om y
Bi-lobect om
y
Lobectom y
Sub-lobar res
Bronch oplasty
Number of operations 2011
2012 2013 2014
Number and percent segmentectomies, (bi)lobectomies and pneumonectomies for lung cancer performed by VATS
0 20 40 60 80 100 120 140 160
2006 2007 2008 2009 2010 2011 2012 2013 2014
Number of operations
0 5 10 15 20 25 30
% operations
Number of operations performed by VATS
% operations performed by VATS
0 10 20 30 40 50
0 50 100 150 200 250 300 350
2007 2008 2009 2010 2011 2012 2013 2014
Per cent females
Operations for lung cancer - males and females
Males Females
% females
Median (min – max) age for patients operated for lung cancer 2010 - 2014
2010 2011 2012 2013 2014
Females 66
(17-85)
66
(20-85)
66
(19-87)
67
(30-85)
67
(8-85)
Males 68
(32-85)
68
(23-87)
67
(20-84)
69
(37-85)
69
(43-86)
The number and percentage of patients operated for lung cancer beeing 80 years or older
20
25 26
29
23
32
29
35
26
0 5 10 15 20 25 30 35 40
2006 2007 2008 2009 2010 2011 2012 2013 2014
Number of operatins
0 1 2 3 4 5 6 7
Percentage
Number
Percent
Stage in 467 operations for lung cancer in 2014 where TNM stage was reported.
39,6
22,7 22,9
12,0
2,1 0,6
0 5 10 15 20 25 30 35 40 45
I IIa IIb IIIa IIIb IV
Stage
Per cent
Sum percentage in stage III and IV in operations for lung cancer 2014
22,2
20,0
15,3 14,5
4,6
0,0 5,0 10,0 15,0 20,0 25,0
Ullevål Haukeland TrHeim AHUS RH
Per cent
The Cancer Registry of Norway
From the Cancer Registry of Norway, 2014
From the Cancer Registry of Norway, 2014
30 days mortality, in Norway
2011 - 2012: 1,2 %
From the Cancer Registry of Norway, 2014
90 days mortality
• 2004: 6%
• 2013: 3%
From the Cancer Registry of Norway, 2014
Operations for primary lung cancer (LUCA) and lung metastases (LUMET)
185
139 156 187 184
166 168
0 100 200 300 400 500 600 700
2008 2009 2010 2011 2012 2013 2014
Number of operations
0 5 10 15 20 25 30
Per cent LUMET
LUCA LUMET
% LUMET
Resections for lung metastases
142
23
0 2
0 20 40 60 80 100 120 140 160
Sub-lobar res Lobectomy Bi-lobectomy Pneumonectomy
Number of operations
2010 2011 2012 2013 2014
