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Worldwide Live Robotic Surgery 24-Hour Event 2015

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For the first WRSE24 we had over 2500 unique viewers registered from 61 countries (58 on the day).

This time we want you the global audience to get involved and participate online

In the Worldwide Robotic Surgery Event

Register now for free

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In February 2015, with EAU approval, ten robotic centers from 4 continents planned to stream live surgery continuously for 24hrs.

Viewing of live surgery was limited to medical professionals using password protection, following registration. LiveArena ™ provided the infrastructure and technological support. All surgeries were completed without incident and we have submitted our outcome data to the EAU live surgery committee, who are supporting our next planned event. Further details can be found at www.wrse24.org

Following previously published EAU Policy on Live Surgery Events (LSE’s), whilst ongoing live surgery at conferences is assured, there remains debate as to how best we can optimise this form of training. The EAU panel reached >80% consensus view that performing live surgery from home institutions may be safer, identifying several issues with a ‘‘travelling surgeon’’. A BJUI poll related to the first WRSE24 found that 76% of respondents would ‘attend’ a streamed virtual surgical conference rather than travel if accreditation were the same, further indicating the potential for uptake into training and education events.

The outcome from the first event surpassed many of our expectations. Registrants came from 61 countries. 1390 unique viewers visited the www.WRSE24.org website during the live 24 hours and this number increased to 2277 over the next 6 days.

The event was well received by industry and the project was a finalist in the category of “Innovative Technology for Good Citizenship” at the prestigious Microsoft Partnership awards  held in July 2015, which received over 2,300 nominations from 108 different countries.

We are also delighted to announce that the forthcoming WRSE24 will involve surgeons from 2 more continents making it the first live urological conference to have contributors from 6 continents.

KI studio

As well as all the surgeons previously involved we will be joined by 5 new surgeons including 2 additional robotic centres: Clinique St Augustin (Dr Richard Gaston and Professor Thierry Piechaud) and Sao Paulo University Hospital (Dr Rafael Coelho). Benjamin Challacombe will be operating from Guys Hospital, London and Ketan Badani will be operating from Mount Sinai, New York. Our aim is to stream live surgery from 12 leading robotic centres, a list of whom can be seen below. Finally we will have a live teleconference link via Skype between Professor Hassan Abol-Enien from the world famous Mansoura University Hospital and Professor Peter Wiklund at Karolinska.

The second event will also see the 24hour studio sessions split into six 4hour sessions. The contributing centres are Karolinska Stockholm, OLV Aalst, Guys London, Mt Sinai New York and Keck USC, Los Angeles.

 

The first event was primarily focused on providing access to live streamed HD video of world leading surgeons operating in their normal working day, with their expert teams. The second event plans to build on this format with more audience participation utilizing social media. We are working with LiveArena™ and Microsoft™ to optomise this aspect. There will be improved opportunities to ask questions to the surgeons utilizing a Microsoft Yammer ™ app that will be integrated into the WRSE24 site or via twitter using #wrse24. Although the concept of a Twitter backchannel at educational events has become familiar, future approaches may be able to improve on ways of communicating within a global audience. Our aim for the 2nd WRSE24 is to enliven virtual participation, widening access to a fuller, interactive, experience for the online audience, with an emphasis on conversation, connection and crowd sourcing of opinions. To highlight the benefits of crowd sourcing of opinions we are planning an ambitious project to have an interactive live debate between Mansoura University Hospital and Karolinska University Hospital. This will include polling technologies available via Yammer™, so that the second part of this planned live discussion will potentially be guided by the opinions of the global audience. A research-group at Stockholm University, with a specialist interest in Social Media are also working closely with WRSE24 to help interpret this data, so that we can learn from this event.

For more details on this worldwide event and the complimentary activities that are planned please visit www.wrse24.org

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24 hour live Worldwide Robotic Surgery Event February 16th – 17th 2015

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On the 16-17th February 2015 ten leading robotic centers of excellence from 4 continents will broadcast for 24 continuous hours. All the surgeons operating are experienced live surgeons, pioneers in their fields, who have contributed to the development and advancement of excellence in robotic surgery techniques.

Register now at www.wrse24.org

 
WRSE24 incorporating 10 world leading robotic centres.

 

“Imagination is more important than knowledge. For knowledge is limited to all we now know and understand, while imagination embraces the entire world, and all there ever will be to know and understand.

― Albert Einstein

 

We live in exciting and progressive times in healthcare, when technological advancements are rapidly changing the way we work and the way we learn as surgeons. Many of these technological advancements come from discoveries and innovations made outside healthcare, making the pace of change less predictable. For example, it is well known that the advancement of robotic surgery technology came from initial innovative developments made within NASA and further funded and developed by the US military [ref 1].

With the advent of minimally invasive surgery utilizing video technologies, opportunities for surgical learning greatly improved. No longer was surgical training a master-apprentice role, performed behind ‘closed doors’ with the associated limited opportunities to disseminate expertise. Video recording of surgery enabled wider dissemination of knowledge and live surgical video transmissions have revolutionized the way that national and international surgical conference meetings are now run.

Following the recently published ‘‘EAU Policy on Live Surgery Events’’, it is now assured that live surgery will be ongoing at conferences in the immediate future. However, the panel reached >80% consensus on the view that performing at a home institution may be safer. The committee also identified issues with a ‘‘travelling surgeon’’ performing complex surgery in an unfamiliar environment with a surgical team that is not experienced with the intricacies of the surgeon’s technique. LSE’s from a home institution remove or minimize these negative aspects [Declan Murphy]. Furthermore, there are other important reasons why LSE’s are enhanced when performed at a high- volume home institution. The potential to optimise surgical performance comes from working with an experienced team. Consistency is a key measure of quality, and robotic surgery in particular epitomises teamwork. An established theatre team will move purposefully through the standardised steps with well-rehearsed, orchestrated movements. It is therefore likely that the natural evolution of LSE’s, is that a greater proportion are broadcast from home institutions [Collins et al].

 

We aim to highlight the benefits of this approach to surgical training with a worldwide team who will represent the best of current standardized surgical technique. All the surgeons operating are experienced live surgeons, pioneers in their fields, who have contributed to the development and advancement of excellence in robotic techniques.

We will be coordinating the broadcasts using LiveArena hardware and infrastructure. LiveArena are currently, primarily a sports broadcaster and in partnership with Microsoft have developed, cutting edge video streaming technology that enables streaming of HD video onto the internet, whilst requiring minimal capacity (3Mb/sec). The videos can be watched in real-time and also paused or rewound via their link and the video can be viewed on laptops, PC’s, smart phones and tablets even on standard hospital wifi, making this approach very accessible and scalable.

Communication with surgeons in real-time:

There will be a blog set up on the WRSE24 website, that any doctor registered can ask questions or highlight a topic for discussion. Questions can also be posted via this BJUI blog or via Twitter #WRSE24. During the 24 hour transmission Karolinska will monitor these aspects, combining the discussions and providing regular feedback via a 24 hour ‘overview’ broadcast on a separate channel.

To see more details and to register now for this historic event go to www.wrse24.org

Registration is currently free and urologists who register before the 12th January will be entered into a prize draw for 5 donated robotic courses (3 ERUS 2015 courses in Barcelona, one at USC Keck Medical Center in Los Angeles and one at Peter MacCallum Cancer Centre, Melbourne)

World Live Robotic Surgery 2015 SBS News

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Justin Collins is a Urologist at Karolinska University Hospital. @4urology

 

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