Yuksel Cemil, Çulcu Serdar
Department of Surgical Oncology, SBU Ankara A.Y. Oncology Training and Research Hospital, Ankara, Turkey.
J Minim Access Surg. 2022 Jan-Mar;18(1):129-135. doi: 10.4103/jmas.JMAS_300_20.
Laparoscopic gastrectomy cannot be performed routinely in many centres, because there is still no standardisation in the centres where it is performed, and therefore, new learning areas are needed for residents working in these centres for surgical training. These areas are various courses, video training sets and video platforms watched over the internet. The most frequently used platforms are YouTube and WebSurg. Our aim is to compare these two online video platforms in terms of laparoscopic gastrectomy and to evaluate the contribution of video platforms to surgical training and whether they have sufficient technical quality.
We made a search on YouTube and WebSurg using the keyword 'laparoscopic gastrectomy' on 13 November 2020. A total of 143 videos were analysed, 111 of them on YouTube and 32 on WebSurg. All these videos were examined by two surgical oncologists experienced in laparoscopic gastrectomy and using laparoscopy in their daily practice.
The average video duration was 53.54 min in the YouTube group and 18.20 min in the WebSurg group, and this difference was found to be statistically significant between the two groups. According to the LGSS based on surgical procedures, the average score of WebSurg videos was 10.37 and of YouTube videos was 5.55, and there was a statistically significant difference between the two groups.
Today, video platforms have started to play a major role in surgical training. Of these platforms examined, WebSurg is superior to YouTube in terms of education and quality, but these platforms still have some deficiencies and need regulation.
在许多中心，腹腔镜胃切除术无法常规开展，因为开展该手术的中心仍未实现标准化，因此，在这些中心工作的住院医师进行外科培训时需要新的学习领域。这些领域包括各种课程、视频培训集以及通过互联网观看的视频平台。最常用的平台是YouTube和WebSurg。我们的目的是比较这两个在线视频平台在腹腔镜胃切除术方面的情况，并评估视频平台对外科培训的贡献以及它们是否具备足够的技术质量。
2020年11月13日，我们在YouTube和WebSurg上使用关键词“腹腔镜胃切除术”进行了搜索。共分析了143个视频，其中YouTube上有111个，WebSurg上有32个。所有这些视频均由两位在腹腔镜胃切除术方面经验丰富且在日常实践中使用腹腔镜的外科肿瘤学家进行检查。
YouTube组视频的平均时长为53.54分钟，WebSurg组为18.20分钟，两组之间的差异具有统计学意义。根据基于手术步骤的LGSS，WebSurg视频的平均得分为10.37分，YouTube视频为5.55分，两组之间存在统计学显著差异。
如今，视频平台已开始在外科培训中发挥重要作用。在这些被检查的平台中，WebSurg在教育和质量方面优于YouTube，但这些平台仍存在一些不足，需要规范管理。
