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 steinar.solberg@rikshospitalet.no

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

Norwegian Association for Cardiothoracic Surgery

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

Accesses used Norwegian Association for Cardiothoracic Surgery

Underlying diagnoses Norwegian Association for Cardiothoracic Surgery

Organ operated upon Norwegian Association for Cardiothoracic Surgery

Selected operations performed Norwegian Association for Cardiothoracic Surgery

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

Operations for lung cancer Norwegian Association for Cardiothoracic Surgery

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

Norwegian Association for Cardiothoracic Surgery

Norwegian Association for Cardiothoracic Surgery

Norwegian Association for Cardiothoracic Surgery

Median (min – max) age for patients operated for lung cancer 2011 - 2015 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

Norwegian Association for Cardiothoracic Surgery

The Cancer Registry of Norway http://www.kreftregisteret.no/ Norwegian Association for Cardiothoracic Surgery

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

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

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

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

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

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 %

From the Cancer Registry of Norway, 2015 Thirty and 90 days mortality after surgery for lung cancer 1990 - 2015 Norwegian Association for Cardiothoracic Surgery

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