1. Norwegian Association for Cardiothoracic Surgery
Thoracic surgery in Norway 2016
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, 2016
The number of general thoracic operations is stable – some 1500 per year.
All eight hospitals have reported their operations for 2016.
For the first year the number of thoracosopies (699) is higher than the thoracotomies (698).
The number of mediastinoscpies is very low – 22 procedures in 2016.
Surgery for lung cancer is increasing. 693 operations were reported. Of these 39 % were performed by thoracoscopic technique.
No hospital in Norway can offer robotic technique in lung cancer surgery.
All curative modalities in lung cancer treatment are increasing and some 40 % of the patients are now offered curative surgery, stereotacic radiation or chemo- radiotherapy.
Very low mortality, both 30 and 90 days after surgery for lung cancer!
Continuously increasing survival after 1, 2 and 5 years in both men and women diagnosed with lung cancer.
Norwegian Association for Cardiothoracic Surgery

3. Number of general thoracic operations reported
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. Prosedures performed in operations for lung cancer
Norwegian Association for Cardiothoracic Surgery

13. The percentage of resections for lung cancer performed by
From the Cancer
Registry of Norway, 2016
The percentage of resections
for lung cancer performed by
thoracoscopy (VATS)

14. The number (columns) and percentage (line) of operations for
lung cancer performed by VATS / thoracoscopic lobectomies
Norwegian Association for Cardiothoracic Surgery

15. The percentage of patiens beeing females in surgery for lung cancer
Norwegian Association for Cardiothoracic Surgery

16. Median (min – max) age for patients operated
for lung cancer
2012
2013
2014
2015
2016
Females 66
(19-87) 67
(30-85)
(8-85) 68
(36-86) 69
(19-84)
Males
(20-84)
(37-85)
(43-86)
(31-89)
(9-86)
Norwegian Association for Cardiothoracic Surgery

17. The age distribution in 6852 patients
operated for lung cancer
Norwegian Association for Cardiothoracic Surgery

18. The number (columns) and percentage (line) of patients
operated for lung cancer beeing 80 years or older
Norwegian Association for Cardiothoracic Surgery

19. Location of tumor in 6190 operations for lung cancer 2003-2016
1960 (32 %)
1620 (26 %)
375 (6 %)
1207 (19 %)
1028 (17 %)
3542 (57 %)
2648 (43 %)

20. The Cancer Registry of Norway
Improved survival after 1, 2 and 5 years
in the whole group of lung cancer patients.
The Cancer Registry of Norway
Norwegian Association for Cardiothoracic Surgery

21. From the Cancer Registry of Norway, 2016
The stage distribution, based on pTNM
for the patients operated for lung cancer

22. The percentage of the patients operated, with cN2 – known
From the Cancer Registry of Norway, 2016
The percentage of the patients
operated, with cN2 – known
spread of cancer to one or
more regional lymph node(s)
before surgery.

23. The percentage of the patients
From the Cancer Registry of Norway, 2016
The percentage of the patients
diagnosed with lung cancer that has been operated.

24. The percentage of the patients
From the Cancer Registry of Norway, 2016*
The percentage of the patients
diagnosed with lung cancer that has been treated with intention to cure – eg:
Surgery: 21%
Stereotactic radiation: 8 %
Chemo-radiation: 8 %
TOTAL: 37 % !!
*The figures given are from 2015.

25. surgery for lung cancer
From the Cancer
Registry of Norway, 2016
30 days mortality after
surgery for lung cancer

26. surgery for lung cancer
From the Cancer
Registry of Norway, 2016
90 days mortality after
surgery for lung cancer

27. T A K K