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Ten years of live surgical broadcast at Charité-MAYO conferences (2010–2019): a systematic evaluation of the surgical outcome
  1. Judith Altmann1,2,
  2. Radoslav Chekerov1,
  3. Christina Fotopoulou3,
  4. Mustafa-Zelal Muallem1,
  5. Andreas du Bois4,
  6. William Cliby5,
  7. Sean Dowdy5,
  8. Karl Podratz5,
  9. Werner Lichtenegger1,
  10. Omar Camara6,
  11. Ralf Tunn7,
  12. David Cibula8,
  13. Sherko Kuemmel9,
  14. Giovanni Scambia10,
  15. Ignace Vergote11,
  16. Vito Chiantera12,
  17. Klaus Pietzner1,
  18. Melisa Guelhan Inci1,
  19. Sascha Chopra13,
  20. Matthias Biebl13,
  21. Joerg Neymeyer14,
  22. Jens-Uwe Blohmer15 and
  23. Jalid Sehouli1
  1. 1Department of Gynecology with Center of Oncological Surgery, Charité Universitätsmedizin Berlin, Campus Virchow, Berlin, Germany
  2. 2Berlin Institute of Health, Berlin, Germany
  3. 3Department of Surgery and Cancer, Gynaecologic Oncology, Imperial College London, London, UK
  4. 4Breast Unit, Kliniken Essen-Mitte, Essen, Germany
  5. 5Department of Gynecology and Obstetrics, Mayo Clinic Rochester, Rochester, Minnesota, USA
  6. 6Department of Gynecology, Hufeland Kliniken, Langensalza, Germany
  7. 7Department of Uro-Gynecology, St.Hedwig Hospital, Berlin, Germany
  8. 8Gynecologic Oncology Center, Department of Obstetrics and Gynecology, General University Hospital in Prague, First Faculty of Medicine, Charles University, Prague, Czech Republic
  9. 9Kliniken Essen-Mitte Evangelische Huyssens-Stiftung/Knappschaft GmbH Klinik fur Gynakologie and Gynakologische Onkologie, Essen, Germany
  10. 10Department of Gynecology, Gemelli University Hospital, Rome, Italy
  11. 11Department of Gynecology, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium
  12. 12Department of Gynecology, University Hospital Paolo Giaccone, Palermo, Italy
  13. 13Department of General Surgery, Charité Universitatsmedizin, Berlin, Germany
  14. 14Department of Urology, Charité Universitätsmedizin, Berlin, Germany
  15. 15Department of Gynecology with Breast Center, Charité, Berlin, Germany
  1. Correspondence to Dr Judith Altmann, Gynecology, Charité Universitätsmedizin Berlin, 13353 Berlin, Germany; judith.altmann{at}charite.de

Abstract

Objective The international Charité-MAYO Conference aims to promote international dialog on diagnostics, management, scientific breakthroughs, and state-of-the-art surgical procedures in gynecology and gynecologic oncology and senology. Live surgeries are a fundamental tool of interdisciplinary and international exchange of experts in their respective fields. Currently, there is a controversial and emotional debate about the true value, risks, and safety of live surgical broadcasts. The aim of the current study is to analyze peri-operative risks in patients who were operated live during the Charité-MAYO Conferences.

Methods Live surgeries were performed by the core Charité team consisting of gynecologic oncologic surgeons, breast and plastic surgeons, partly in collaboration with visiting gynecologic oncologic surgeons. We performed a retrospective analysis of live surgeries performed during seven Charité-MAYO Conferences from 2010 to 2019 held in Berlin, Germany. Patients’ files and tumor databases were analyzed as required and patients were contacted to update their long-term follow-up.

Results Sixty-nine patients who were operated live were included. The types of surgery were as follows: urogynecologic procedures (n=13), breast surgery (n=21), and gynecologic oncology surgery for ovarian, uterine, vulvar or cervical cancer (n=35). Peri-operative complications were assessed according to the Clavien–Dindo classification. Despite a high rate of complete resection and the high frequency of multivisceral procedures, the rate of peri-operative complications was within the range published in the literature. Time of surgery and length of intensive unit care and hospital stay did not differ from data acquired at the home institution.

Conclusions Based on our analysis, live surgeries appear to be safe when performed within a multidisciplinary setting without an increase in surgical morbidity and mortality compared with historical controls and without compromise of patients’ outcome. This is the first analysis of its kind to set the basis for patient information and consent for this type of surgeries.

  • Gynecologic Surgical Procedures
  • Postoperative complications
  • Surgical Procedures, Operative
  • Postoperative Care

Data availability statement

Data are available upon reasonable request.

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Footnotes

  • Contributors JA and JS: study design, data analysis, literature review. All other authors: review of manuscript content, data interpretation, discussion. JA and JS: guarantors.

  • Funding JA is funded by the Charité/Berlin Institute of Health Junior Clinician Scientist Program.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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