Celentano Valerio, Pellino Gianluca, Coleman Mark G
Minimally Invasive Colorectal Unit, Portsmouth Hospitals NHS Trust, Portsmouth, UK.
University of Portsmouth, Portsmouth, UK.
ANZ J Surg. 2019 Mar;89(3):180-183. doi: 10.1111/ans.15077. Epub 2019 Feb 18.
Video recordings of open surgical procedures could provide a method for enhancing surgical education, analysing operative performance and presenting cases to a wider audience of surgeons. The aim of this pilot study was to systematically search the World Wide Web to determine the availability of open surgery videos and to evaluate their potential training value in terms of the educational content presented.
A broad search for open right hemicolectomy videos was performed on the three most used English language internet search engines (Google.com, Bing.com and Yahoo.com). All videos of open right hemicolectomy with an English language title were included. Laparoscopic surgery, single-incision laparoscopic surgery and robotic- and hand-assisted surgery videos were excluded, as were videos from fee charging websites.
A total of 31 relevant websites were identified and 21 open surgery videos were finally included. The characteristics of the patients were presented only in four (19%) videos. A video commentary was present in 12 cases (57.1%) and this was in English language in 11. The median number of views per month was 84.1.
Open surgery videos have a significantly higher number of views per month compared to laparoscopic surgery videos, but current methodologies used to record and render the surgeon's point of view in open operative surgery remain limited.
开放手术过程的视频记录可为加强外科教育、分析手术操作表现以及向更广泛的外科医生群体展示病例提供一种方法。这项初步研究的目的是系统地搜索万维网，以确定开放手术视频的可获取性，并根据所呈现的教育内容评估其潜在的培训价值。
在三个最常用的英文互联网搜索引擎（Google.com、Bing.com和Yahoo.com）上广泛搜索开放右半结肠切除术视频。纳入所有标题为英文的开放右半结肠切除术视频。排除腹腔镜手术、单切口腹腔镜手术以及机器人辅助和手辅助手术视频，以及来自收费网站的视频。
共识别出31个相关网站，最终纳入21个开放手术视频。仅4个（19%）视频中呈现了患者特征。12例（57.1%）有视频解说，其中11例为英文解说。每月的视频观看次数中位数为84.1。
与腹腔镜手术视频相比，开放手术视频每月的观看次数明显更多，但目前用于记录和呈现开放手术中外科医生视角的方法仍然有限。
