Thoracic surgery in Norway 2008 Norwegian Association of Cardiothoracic Surgeons

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1 Thoracic surgery in Norway 28 Norwegian registry for general thoracic surgery. Steinar Solberg, MD, PhD. Department of Thoracic and Cardiovascular Surgery Rikshospitalet, 27 Oslo, Norway

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

3 per hospital Rikshosp AHUS TrHeim Haukeland Stavanger

4 Mediastinoscopies performed

5 Thoracoscopies performed

6 Thoracotomies performed

7 Sternotomies performed

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

9 Organ operated upon Mediastinum Chest wall Pleura Nerve tissue Thymus Th. appertur Trachea Lung

10 Operations for lung cancer Incidence of small- and non small cell lung cancer in Norway: approx. 23 per year

11 Side- and lobe for 456 operations for lung cancer Right 126 Left Upper Midle Lower Right side: 253 (55,5 %). Left side 23 (45,5 %)

12 Side- and lobe for 1699 operations for lung cancer (32 %) 455 (28 %) 16 (6 %) 319 (19%) 268 (16 %)

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

14 Operations for lung cancer - males and females 3 6 Males Females % females Per cent females

15 Operations for lung cancer - males and females - age < 6 years Per cent females Males Females % females

16 Operations for primary lung cancer (LUCA) and lung metastases (LUMET) LUCA LUMET % LUMET Per cent LUMET

17 Operations for lung cancer per million per region. 28 For whole country: 16 (5 operations / 4,7 million) per milion EAST SOUTH WEST MIDLE NORTH

18 Operations for lung cancer per million per county. 28 For whole country: 16 (5 operations / 4,7 million) Troms Finnmark Akershus Oslo Hedmark Oppland Buskerud Vestfold Telemark A-Agder V-Agder Rogaland Hordaland Sogn og Fj Nordland per million

19 Resections for lung metastases Sub-lobar res Lobectomy Bi-lobectomy Pneumonectomy

20 Selected operations Res. 1. costa Bullectomy Rubbing / pleurekcomy Sypatectomy Corr. Th.wall Decortication Opr. tumor outside lung Thymectomy Diag. / Biopsy

21 Norwegian registry for general thoracic surgery. Steinar Solberg, MD, PhD. Department of Thoracic and Cardiovascular Surgery Rikshospitalet, 27 Oslo, Norway

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