Thoracic surgery in Norway 214 Norwegian register for general thoracic surgery. Steinar Solberg, MD, PhD. Department of Thoracic and Cardiovascular Surgery Rikshospitalet, Norway steinar.solberg@rikshospitalet.no
Number of operations Thoracic operations* reported 18 16 14 12 1 8 6 4 2 1568 1448 1513 1478 1361 1328 1325 1265 125 185 25 26 27 28 29 21 211 212 213 214 *Non-cardial thoracic surgery / general thoracic surgery
Number of operations per hospital per year 45 4 35 33 21 3 25 25 259 237 278 211 212 213 2 214 15 1 83 5 41 Rikshosp Ullevål AHUS TrHeim Haukeland Tromsø Stavanger Bodø
Accesses used 1 9 8 7 6 5 4 3 2 1 785 586 21 211 212 213 214 51 35 Thoracotomies Thoracoscopies Mediastinoscopies Sternotomies
Number of operations Underlying diagnosis 8 7 6 5 4 653 211 212 213 214 3 2 1 19 7 191 62 66 22 56 124 14 14 96 Mal. Tumor Pneumothorax Sweating / flushing Metastases Uncertain tumor Benign tumor Int. lung disease Infection (deep) Deformities Injury TOS Other
Number of operations Organ operated upon 12 1 8 6 123 211 212 213 214 4 2 94 183 51 7 4 15 1 Lung Mediastinum Chest wall Pleura Nerve tissue Thymus Th. appertur Trachea
Number of operations Selected operations performed 2 18 16 211 212 14 12 1 8 1 89 7 1 213 214 6 4 2 6 27 35 4 16 Diag. / Biopsy Bullectomy Rubbing / pleurectomy Sympatectomy Corr. Th.wall Decortication Opr. tumor outside lung Thymectomy Res. 1. costa
Number of operations Operations for lung cancer 7 6 64 59 61 599 5 433 45 52 521 49 4 366 349 3 2 1 24 25 26 27 28 29 21 211 212 213 214
Number of operations for lung cancer per hospital per year 16 14 12 1 8 6 4 Rikshosp Ullevål AHUS TrHeim Haukeland Tromsø Stavanger Bodø 2 27 28 29 21 211 212 213 214
Number of operations Procedures performed in surgery for lung cancer 5 45 4 35 3 445 211 212 213 25 214 2 15 1 5 8 45 52 42 6 Only exploration Pneumonectomy Bi-lobectomy Lobectomy Sub-lobar res Bronchoplasty
Number of operations % operations Number and percent segmentectomies, (bi)lobectomies and pneumonectomies for lung cancer performed by VATS 16 14 12 1 Number of operations performed by VATS % operations performed by VATS 3 25 2 8 6 4 2 26 27 28 29 21 211 212 213 214 15 1 5
Per cent females Operations for lung cancer - males and females 35 3 5 Males Females % females 25 4 2 3 15 2 1 5 1 27 28 29 21 211 212 213 214
Median (min max) age for patients operated for lung cancer 21-214 21 211 212 213 214 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)
Number of operatins Percentage The number and percentage of patients operated for lung cancer beeing 8 years or older 4 35 3 25 2 15 2 25 26 29 23 32 29 35 26 7 6 5 4 3 Number Percent 1 2 5 1 26 27 28 29 21 211 212 213 214
Per cent Stage in 467 operations for lung cancer in 214 where TNM stage was reported. 45 4 35 3 25 2 15 1 5 39,6 22,7 22,9 12, 2,1,6 I IIa IIb IIIa IIIb IV Stage
Per cent Sum percentage in stage III and IV in operations for lung cancer 214 25, 2, 22,2 2, 15, 15,3 14,5 1, 5, 4,6, Ullevål Haukeland TrHeim AHUS RH
The Cancer Registry of Norway http://www.kreftregisteret.no/
From the Cancer Registry of Norway, 214
From the Cancer Registry of Norway, 214 3 days mortality, in Norway 211-212: 1,2 %
From the Cancer Registry of Norway, 214 9 days mortality 24: 6% 213: 3%
From the Cancer Registry of Norway, 214
Number of operations Per cent LUMET Operations for primary lung cancer (LUCA) and lung metastases (LUMET) 7 6 5 3 25 2 LUCA LUMET % LUMET 4 3 15 2 185 139 156 187 184 166 168 1 1 5 28 29 21 211 212 213 214
Number of operations Resections for lung metastases 16 14 12 142 21 211 1 8 212 213 214 6 4 2 23 2 Sub-lobar res Lobectomy Bi-lobectomy Pneumonectomy