Thoracic surgery in Norway 2014 Norwegian Association for Cardiothoracic Surgery

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1 Thoracic surgery in Norway 214 Norwegian register for general thoracic surgery. Steinar Solberg, MD, PhD. Department of Thoracic and Cardiovascular Surgery Rikshospitalet, Norway

2 Number of operations Thoracic operations* reported *Non-cardial thoracic surgery / general thoracic surgery

3 Number of operations per hospital per year Rikshosp Ullevål AHUS TrHeim Haukeland Tromsø Stavanger Bodø

4 Accesses used Thoracotomies Thoracoscopies Mediastinoscopies Sternotomies

5 Number of operations Underlying diagnosis Mal. Tumor Pneumothorax Sweating / flushing Metastases Uncertain tumor Benign tumor Int. lung disease Infection (deep) Deformities Injury TOS Other

6 Number of operations Organ operated upon Lung Mediastinum Chest wall Pleura Nerve tissue Thymus Th. appertur Trachea

7 Number of operations Selected operations performed Diag. / Biopsy Bullectomy Rubbing / pleurectomy Sympatectomy Corr. Th.wall Decortication Opr. tumor outside lung Thymectomy Res. 1. costa

8 Number of operations Operations for lung cancer

9 Number of operations for lung cancer per hospital per year Rikshosp Ullevål AHUS TrHeim Haukeland Tromsø Stavanger Bodø

10 Number of operations Procedures performed in surgery for lung cancer Only exploration Pneumonectomy Bi-lobectomy Lobectomy Sub-lobar res Bronchoplasty

11 Number of operations % operations Number and percent segmentectomies, (bi)lobectomies and pneumonectomies for lung cancer performed by VATS Number of operations performed by VATS % operations performed by VATS

12 Per cent females Operations for lung cancer - males and females Males Females % females

13 Median (min max) age for patients operated for lung cancer Females 66 (17-85) 66 (2-85) 66 (19-87) 67 (3-85) 67 (8-85) Males 68 (32-85) 68 (23-87) 67 (2-84) 69 (37-85) 69 (43-86)

14 Number of operatins Percentage The number and percentage of patients operated for lung cancer beeing 8 years or older Number Percent

15 Per cent Stage in 467 operations for lung cancer in 214 where TNM stage was reported ,6 22,7 22,9 12, 2,1,6 I IIa IIb IIIa IIIb IV Stage

16 Per cent Sum percentage in stage III and IV in operations for lung cancer , 2, 22,2 2, 15, 15,3 14,5 1, 5, 4,6, Ullevål Haukeland TrHeim AHUS RH

17 The Cancer Registry of Norway

18 From the Cancer Registry of Norway, 214

19 From the Cancer Registry of Norway, days mortality, in Norway : 1,2 %

20 From the Cancer Registry of Norway, days mortality 24: 6% 213: 3%

21 From the Cancer Registry of Norway, 214

22 Number of operations Per cent LUMET Operations for primary lung cancer (LUCA) and lung metastases (LUMET) LUCA LUMET % LUMET

23 Number of operations Resections for lung metastases Sub-lobar res Lobectomy Bi-lobectomy Pneumonectomy

24

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