With the current advancement in the medical world, surgeons are faced with the challenge of handling many sources of medical information in more and more complex and technological Operating Rooms (ORs). Obviously, in the next generation ones, there will be an increasing number of video flows during the surgery (e.g. endoscopes, cameras, ultrasounds, etc.), which can be also displayed all over the OR in order to facilitate the task for the surgeon and to avoid any adverse events or problems related to inadequate communication in the OR. Additionally, other information needs to be shared, pre/post/during an operation, such as the history of the digital images related to the patient in the PACS and the metadata coming from medical sensors. Moreover, these medical videos captured from the OR can be either displayed on a large screen in the OR in order to provide the surgeon with more visibility, in this case via DICOM-RTV, or streamed outside the OR via a P2P solution. The latter one can serve various purposes such as for teaching medical student in real-time or for remote-expertise with a remote senior surgeons. Hence, this paper addresses the challenges of streaming DICOM-RTV video and metadata flows live from the operating room, typically during an ongoing surgery, in real-time to the outside world. A Proof of Concept is also presented in order to demonstrate the feasibility of our solution.