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Organization of gynaecological cancer care
1056 Live surgical broadcast and patient outcome – 10 years of experience from the international Charité MAYO conferences 2010–2019
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  1. J Altmann1,
  2. R Chekerov1,
  3. C Fotopoulou2,
  4. A Du Bois3,
  5. W Cliby4,
  6. SC Dowdy4,
  7. K Podratz4,
  8. W Lichtenegger1,
  9. O Camara5,
  10. R Tunn6,
  11. D Cibula7,
  12. S Kümmel3,
  13. IB Vergote8,
  14. S Chopra9,
  15. M Biebl9,
  16. V Chiantera10,
  17. J Neymeyer11,
  18. Z Muallem1,
  19. JU Blohmer1 and
  20. J Sehouli1
  1. 1Charité University Hospital, Gynecology, Berlin, Germany
  2. 2Imperial College London, Gynecology, London, UK
  3. 3Evangelische Kliniken Essen-Mitte, Gynecology, Essen, Germany
  4. 4Mayo Clinic, Gynecology, Rochester, USA
  5. 5Hufeland Kliniken Langensalza, Gynecology, Langensalza, Germany
  6. 6Hedwig Kliniken Berlin, Berlin, Germany
  7. 7General Hospital Prague, Prague, Czech Republic
  8. 8UZ Leuven, Gynecology, Leuven, Belgium
  9. 9Charité University Hospital, Surgery, Berlin, Germany
  10. 10Gemelli Universita, Roma, Italy
  11. 11Charité University Hospital, Urology, Berlin, Germany

Abstract

Introduction/Background*The international Charité MAYO Conference aims at promoting international dialogue on diagnostics, management, scientific breakthroughs and state-of-the-art surgical procedures in gynecology and gynecological oncology. Live surgeries are a fundamental tool of interdisciplinary and international exchange of experts in their respective fields. There is a controversy about the usefulness, risks and safety of live-surgical broadcasts. The aim of the current study is to analyse perioperative risks and oncological outcomes in patients who underwent live-surgery during the Charité MAYO Conferences.

Methodology Live-surgeries were performed by the core Charité team consisting of gynecologic oncologic surgeons, partly in collaboration with visiting gynecologic oncological surgeons. We performed a retrospective analysis of all live-surgeries performed during seven Charité MAYO Conferences from 2010 to 2019 held in Berlin, Germany.

Result(s)*In total, 69 patients underwent live-surgeries. 13 patients received urogynecological procedures, 21 patients underwent surgery on the breast and 35 patients underwent surgery due to gynecological cancer such as ovarian, uterine, vulvar or cervical cancer. Perioperative complications were classified according to the Clavien-Dindo classification. The rate of perioperative complications, macroscopic tumor resection and oncological outcomes were within the range published in the literature.

Conclusion*Based on our analysis live-surgeries were safe to perform in terms of multidisciplinary approach, perioperative complications and oncological outcome. With this, we established specific recommendations for performing live-surgeries.

https://doi.org/10.1136/ijgc-2021-ESGO.327

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