1. Thoracic surgery in Norway 2015 Norwegian Association for Cardiothoracic Surgery
Norwegian register for general thoracic surgery.
Steinar Solberg, MD, PhD.
Department of Thoracic and Cardiovascular Surgery
Rikshospitalet, Norway

2. Summary, 2015
The number of general thoracic operations is quite stable – some 1500 procedures annually.
All eight hospital have reported their operations for 2015.
The number of operations performed by minimally invasive (thoracocopic) technique – VATS is increasing.
In 2015, 626 operations for lung cancer were performed. This is ”all time high” both as absolute number and relatively. Twenty one per cent of those diagnosed with lung cancer were operated.
The reporting to the Cancer Registry of Norway provides valuable information also regarding lung cancer surgery.
Very low mortality, both 30 and 90 days after surgery for lung cancer!
The mortality has been substantially reduced since the 1990ties. If the operations in 2015 were done with the mortality rate in 1991, some 70 patients more would have been dead after 90 days.
Norwegian Association for Cardiothoracic Surgery

3. Norwegian Association for Cardiothoracic Surgery

4. Number of operations per hospital per year
Norwegian Association for Cardiothoracic Surgery

5. Accesses used
Norwegian Association for Cardiothoracic Surgery

6. Underlying diagnoses
Norwegian Association for Cardiothoracic Surgery

7. Organ operated upon
Norwegian Association for Cardiothoracic Surgery

8. Selected operations performed
Norwegian Association for Cardiothoracic Surgery

9. Number of operations for lung metastases performed annually
Norwegian Association for Cardiothoracic Surgery

10. Operations for lung cancer
Norwegian Association for Cardiothoracic Surgery

11. Number of operations for lung cancer per hospital per year
Norwegian Association for Cardiothoracic Surgery

12. Norwegian Association for Cardiothoracic Surgery

13. Norwegian Association for Cardiothoracic Surgery

14. Norwegian Association for Cardiothoracic Surgery

15. Median (min – max) age for patients operated
for lung cancer
2011
2012
2013
2014
2015
Females 66
(20-85)
(19-87) 67
(30-85)
(8-85) 68
(36-86)
Males
(23-87)
(20-84) 69
(37-85)
(43-86)
(31-89)
Norwegian Association for Cardiothoracic Surgery

16. Norwegian Association for Cardiothoracic Surgery

17. The Cancer Registry of Norway
Norwegian Association for Cardiothoracic Surgery

18. From the Cancer Registry of Norway, 2015
The number of lung cancer operations performed
and the percentage reported to the cancer registry
Norwegian Association for Cardiothoracic Surgery

19. From the Cancer Registry of Norway, 2015
The percentage of the patients decided for surgery that has
been discussed in a multi diciplinary team (MDT) meeting
Norwegian Association for Cardiothoracic Surgery

20. From the Cancer Registry of Norway, 2015
The stage distribution, based on pTNM
for the patients operated for lung cancer
Norwegian Association for Cardiothoracic Surgery

21. From the Cancer Registry of Norway, 2015
The percentage of the patients diagnosed
with lung cancer that has been operated

22. From the Cancer Registry of Norway, 2015
The percentage of the patients operated
with the bronchial resection margin free of cancer
Norwegian Association for Cardiothoracic Surgery

23. From the Cancer Registry of Norway, 2015
Thirty and 90 days mortality
after surgery for lung cancer
30 days
mortality
90 days
Mortality
Norway
0.9 %
2.1 %
Denmark
4,6 %

24. From the Cancer Registry of Norway, 2015
Thirty and 90 days mortality
after surgery for lung cancer
Norwegian Association for Cardiothoracic Surgery

25. T A K K