Head and Neck Surgery, Department of Otolaryngology, University of Illinois at Chicago, Chicago, IL, USA.
Ear Nose Throat J. 2024 Jul;103(7):NP440-NP449. doi: 10.1177/01455613211062447. Epub 2021 Dec 13.
Online surgical videos are an increasingly popular resource for surgical trainees, especially in the context of the COVID-19 pandemic. Our objective was to assess the instructional quality of the YouTube videos of the transsphenoidal surgical approach (TSA), using LAParoscopic surgery Video Educational Guidelines (LAP-VEGaS).
YouTube TSA videos were searched using 5 keywords. Video characteristics were recorded. Two fellowship-trained rhinologists evaluated videos using LAP-VEGaS (scale 0 [worst] to 18 [best]).
The searches produced 43 unique, unduplicated videos for analysis. Mean video length 7 minutes (standard deviation [SD] = 13), mean viewership was 16 017 views (SD = 29 415), and mean total LAP-VEGaS score was 9 (SD = 3). The LAP-VEGaS criteria with the lowest mean scores were presentation of the positioning of the patient/surgical team (mean = 0.2; SD = 0.6) and the procedure outcomes (mean = 0.4; SD = 0.6). There was substantial interrater agreement (κ = 0.71).
LAP-VEGaS, initially developed for laparoscopic procedures, is useful for evaluating TSA instructional videos. There is an opportunity to improve the quality of these videos.
在线手术视频是外科受训者越来越受欢迎的资源，尤其是在 COVID-19 大流行期间。我们的目的是使用腹腔镜手术视频教育指南 (LAP-VEGaS) 评估经蝶窦手术 (TSA) 的 YouTube 视频的教学质量。
使用 5 个关键字搜索 YouTube TSA 视频。记录视频特征。两名接受过 fellowship 培训的鼻科医生使用 LAP-VEGaS（评分 0 [最差] 至 18 [最佳]）对视频进行评估。
搜索产生了 43 个独特的、不重复的视频进行分析。视频平均长度为 7 分钟（标准差 [SD] = 13），平均观看次数为 16,017 次（SD = 29,415），平均总 LAP-VEGaS 得分为 9（SD = 3）。LAP-VEGaS 标准中得分最低的是患者/手术团队的定位呈现（平均 = 0.2；SD = 0.6）和手术结果（平均 = 0.4；SD = 0.6）。评分者间存在高度一致性（κ = 0.71）。
最初为腹腔镜手术开发的 LAP-VEGaS 可用于评估 TSA 教学视频。这些视频有提高质量的机会。
