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Updated: Jun 4, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Live broadcasting in cardiac surgery does not increase the operative risk
Joerg Seeburger1, Anno Diegeler, Karl Dossche
1Department of Cardiac Surgery, Heart Centre Leipzig, Leipzig, Germany.
Live broadcasting of cardiac surgery does not increase patient risk. This study found low mortality and complication rates in 250 procedures, demonstrating safe educational surgical broadcasts.
Area of Science:
- Cardiovascular Surgery
- Medical Education
- Patient Safety
Background:
- Live broadcasting of cardiac surgical procedures is used for educational purposes.
- There is an ongoing debate regarding the potential increased risk associated with live surgery.
Purpose of the Study:
- To evaluate the outcomes of patients undergoing cardiac surgical procedures during live broadcasting.
- To determine if live surgery increases perioperative risk in cardiac operations.
Main Methods:
- A total of 250 cardiac operations were performed across four clinical sites between 1999 and 2009 during live broadcasts.
- Data collected included patient characteristics, intra-operative procedures, and short- and long-term outcomes.
- All participating centers adhered to European Association of Cardiovascular and Thoracic Surgery (EACTS) guidelines for live surgery.
Main Results:
- Procedures focused on mitral valve (126), aortic valve (34), and coronary artery bypass grafting (CABG) (29), among others.
- Thirty-day mortality was 1.2% (3/250), with a stroke rate of 2.4% (6/250).
- Five patients (2%) required re-operation within 30 days; 5-year survival was estimated at 92%.
Conclusions:
- This large experience indicates no excess perioperative risk for patients undergoing cardiac surgery during live broadcasting.
- The study supports the safety of live surgical broadcasts for educational purposes.
- Outcomes, including mitral valve repair rates, compare favorably with national data.
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