Outcomes of EAU-endorsed Live Surgical Events over a 5-year Period (2015-2020) and Updated Guidelines from the EAU Live Surgery Committee
Por:
Somani, B, Liatsikos, E, Mottrie, A, Gozen, AS, Breda, A, Knoll, T, Bianchi, G, Sarica, K, Bedke, J, Rassweiler, J
Publicada:
1 nov 2021
Ahead of Print:
1 oct 2021
Resumen:
Context: Live surgery events (LSEs) have been used in all surgical fields for education and training and to demonstrate new techniques. The European Association of Urology (EAU) live surgery guidelines were established in 2014.
Objective: To review the compliance of outcomes for procedures performed at EAU-affiliated LSEs with the 2014 guidelines and to establish updated guidelines for LSEs and semi-LSEs.
Evidence acquisition: Patients from EAU-affiliated LSEs were included for all surgical procedures carried out between January 2015 and January 2020. All these events were pre-evaluated by the EAU Live Surgery Committee and met the criteria for an EAU LSE, with outcomes recorded and submitted to the registry. Data were collected for the type of procedure and for intraoperative and short- and long-term complications.
Evidence synthesis: A total of 246 procedures were performed across 18 LSEs, with an annual volume ranging from 19 to 74 procedures. These included 109 (44.3%) robot-assisted procedures, 21 (8.5%) laparoscopic procedures, 10 (4%) transurethral bladder procedures, 11 (4.4%) prostate enucleation procedures, 72 (29.2%) endourological procedures, and 23 (9.3%) andrology or reconstruction procedures. A total of 77 different surgical techniques and variations for 55 different types of surgery were performed as LSEs over the past 5 yr. There were 44 (17.8%) short-term complications and 11.3% (nine/ 79) long-term complications observed, with Clavien grade III/IV complications seen in 5.2% and 7.5% of cases over short- and long-term follow-up, respectively.
Conclusions: The 5-yr outcomes for EAU LSEs show that they are safe and follow previous guidelines set by the panel. It seems likely that the fine balance between patient safety and educational value might be best achieved if LSEs are performed by local surgeons in their parent hospital with patients and staff they know, and that technological advances will make live streaming a seamless process. The current EAU Live Surgery Committee has updated the guidelines on LSEs and provided new guidelines for semi-live events.
Patient summary: We reviewed 5-year outcomes for live surgery events endorsed by the European Association of Urology. We found that the operations carried out at these events were safe and followed the guidelines previously set. We have updated the guidelines and provided new guidelines for semi-live events. (C) 2021 European Association of Urology. Published by Elsevier B.V. All rights reserved.
Filiaciones:
Somani, B:
Univ Hosp Southampton NHS Trust, Southampton, Hants, England
Manipal Acad Higher Educ, KMC Manipal, Manipal, Karnataka, India
Univ Southampton, Southampton, Hants, England
Liatsikos, E:
Univ Patras, Patras, Greece
Med Univ Vienna, Vienna, Austria
Sechenov Univ, Inst Urol & Reprod Hlth, Moscow, Russia
Mottrie, A:
OLV Ziekenhuis Aalst Asse Ninove, Aalst, Belgium
Intuit Surg, Aubonne, Switzerland
ORSI Acad, Melle, Belgium
Gozen, AS:
Trakya Tip Fak Hosp, Edirne, Turkey
Heidelberg Univ, Teaching Hosp, SLK Kliniken Heilbronn, Dept Urol & Pediat Urol, Heidelberg, Germany
Breda, A:
Fundacio Puigvert, Barcelona, Spain
Autonoma Univ Barcelona, Barcelona, Spain
Knoll, T:
Mannheim Univ Hosp, Mannheim, Germany
Univ Tubingen, Sindelfingen Med Ctr, Sindelfingen, Germany
Bianchi, G:
Univ Modena & Reggio Emilia, Modena, Italy
Sarica, K:
Biruni Univ, Dept Urol, Med Sch, Biruni, Turkey
Bedke, J:
Univ Tubingen, Dept Urol, Tubingen, Germany
Rassweiler, J:
Heidelberg Univ, Teaching Hosp, SLK Kliniken Heilbronn, Dept Urol & Pediat Urol, Heidelberg, Germany
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