YouTube腹腔镜阑尾切除术视频的教育价值分析
Analysis of the Educational Value of YouTube Laparoscopic Appendectomy Videos.
作者信息
Park Ki Bum, Kim Moon Jin, Lee Jun Suh
机构信息
Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
出版信息
J Minim Invasive Surg. 2019 Sep 15;22(3):119-126. doi: 10.7602/jmis.2019.22.3.119.
PURPOSE
To evaluate the educational value of laparoscopic appendectomy (LA) videos on YouTube for surgical trainees.
METHODS
The search term "Laparoscopic appendectomy" was used on YouTube. The top 100 videos sorted by the number of views were evaluated. Each YouTube account was analyzed, and only videos uploaded by medical physicians were included in this study. Video quality was evaluated using an arbitrary appendectomy scoring system. Video characteristics and Global Operative Assessment of Laparoscopic Skills (GOALS) scores were analyzed regarding video quality and upload source.
RESULTS
The video quality of 14 (25.0%) videos was graded as good, 36 (64.3%) moderate, and 6 (10.7%) of poor quality. Video characteristic analysis showed no differences in video quality according to the upload source (=0.573). Video quality and upload source were not related to video length, total views, days online, number of likes, number of dislikes, number of comments, or GOALS score. Among the factors analyzed, only appendicitis severity was found to be associated with video grade (=0.049).
CONCLUSION
The quality of LA YouTube videos varied. Categories considered as viewer feedback were not associated with video grade or upload source. Responsible video uploading by academic institutions, and appropriate censorship by YouTube seems necessary. Further research with objective data on actual application to surgical trainees is necessary.
目的
评估YouTube上腹腔镜阑尾切除术（LA）视频对外科住院医师的教育价值。
方法
在YouTube上使用搜索词“腹腔镜阑尾切除术”。对按观看次数排序的前100个视频进行评估。分析每个YouTube账户，本研究仅纳入医学医生上传的视频。使用任意的阑尾切除术评分系统评估视频质量。就视频质量和上传来源分析视频特征及腹腔镜手术技能全球评估（GOALS）评分。
结果
14个（25.0%）视频的质量等级为良好，36个（64.3%）为中等，6个（10.7%）为质量差。视频特征分析显示，根据上传来源，视频质量无差异（P = 0.573）。视频质量和上传来源与视频长度、总观看次数、上线天数、点赞数、点踩数、评论数或GOALS评分均无关。在所分析的因素中，仅发现阑尾炎严重程度与视频等级相关（P = 0.049）。
结论
YouTube上LA视频的质量参差不齐。被视为观众反馈的类别与视频等级或上传来源无关。学术机构进行负责任的视频上传以及YouTube进行适当审查似乎很有必要。有必要对实际应用于外科住院医师的客观数据进行进一步研究。
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