XXXX surgery: the first 60 days. A population-based study.

@entity1 @entity548 @entity55 @entity5 @entity2 @entity292 @entity1576 @entity299 @entity204
OBJECTIVE: The postoperative mortality following @entity2 surgery is relatively high. The purpose of the present study was to identify preoperative risk factors as well as fatal complications in 27 Norwegian hospitals. METHODS: In Norway, all clinical and pathologic departments submit reports on @entity5 @entity1 to the Cancer Registry of Norway. The Registry also has a law-regulated authority to collect supplemental information regarding diagnosis, treatment, and outcome for all @entity5 @entity1 from the hospitals in charge. This investigation included all @entity1 who died within 30 and 60 days after resection of @entity2 in the period 1993-2002. RESULTS: During the @entity2 was diagnosed in 19,582 @entity1 , 3224 (16.5%) were treated by surgery. The resection rate was almost similar in the two sexes, but postoperative mortality in @entity1 was less than half compared to @entity1 . Total mortality was 5% and 8% after 30 and 60 days, respectively. Bilobectomy and pneumonectomy were most risky with a mortality rate of about 10% within 60 days. In @entity1 more than 70 years of age, there was a considerably higher frequency of pneumonectomy in @entity1 compared to @entity1 . Dominating causes of @entity204 were @entity55 with @entity1576 and @entity299 . Other identifiable causes were @entity548 and @entity292 . CONCLUSIONS: In this population-based, unselected series, the postoperative mortality was relatively high, and increased markedly in @entity1 older than 70 years. Pneumonectomy in @entity1 older than 70 years should only be performed when heart-lung function is found to be acceptable following full pulmonary function testing and thorough preoperative assessment of cardiovascular risk factors.
