Yang Shi-Qin, Chen Yuan-Zhuo, Peng Liao, Wang Wei, Chen Jia-Wei, Fan Yang, Luo De-Yi
Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Transl Androl Urol. 2022 Dec;11(12):1621-1628. doi: 10.21037/tau-22-318.
YouTube is commonly used by doctors to learn surgery. To date, no studies have evaluated the quality of videos on photoselective vaporization of the prostate (PVP) for benign prostatic hyperplasia (BPH) on YouTube. Our aim was to assess the educational value of YouTube videos regarding PVP.
"Green light laser vaporization of the prostate" and "photoselective vaporization of the prostate (PVP)" were searched by 2 authors on YouTube on February 14, 2022. Based on the Laparoscopic Surgery Video Educational Guidelines and previous studies, a checklist that included 4 major and 16 minor items was developed. SPSS version 26 (IBM Corp., Armonk, NY, USA) was used to analyze the data using correlation analysis.
A total of 74 surgical videos were assessed. The mean number of days available for educational videos was 2,607 days (range, 156-5,854 days), with the earliest videos dating back to 2006 and the latest to 2021. The average length was 12.69 minutes (range, 0.73-123.7, SD 21.25). The majority of videos originated in the United States, and the video definition was divided into high, moderate, and low, accounting for 21.6%, 66.2%, and 12.2% of the videos, respectively. The average numbers of likes and dislikes for videos were 34.26 (SD 87.96) and 0, respectively. The average score of the videos was 6.65 (range, 2-12, SD 2.79). The correlation analysis indicated that the number of views of these videos was related to the number of online days and likes. The scores of videos were related to the number of likes, and the annual average number of views was related to both the number of views and the number of surgeon likes.
There is a lack of high-quality surgical videos of green laser vaporization of the prostate on YouTube. More detailed explanations of the key steps of the operation are needed. We hope that more videos with higher educational value will be published in the future to help surgeons master this technology.
医生常用YouTube学习外科手术。迄今为止，尚无研究评估YouTube上关于良性前列腺增生（BPH）的前列腺光选择性汽化术（PVP）视频的质量。我们的目的是评估YouTube上关于PVP视频的教育价值。
2022年2月14日，两名作者在YouTube上搜索了“前列腺绿激光汽化术”和“前列腺光选择性汽化术（PVP）”。基于腹腔镜手术视频教育指南和既往研究，制定了一份包含4项主要和16项次要条目的清单。使用SPSS 26版（美国纽约州阿蒙克市IBM公司）通过相关性分析对数据进行分析。
共评估了74个手术视频。教育视频的平均可用天数为2607天（范围156 - 5854天），最早的视频可追溯到2006年，最晚的到2021年。平均时长为12.69分钟（范围0.73 - 123.7，标准差21.25）。大多数视频来自美国，视频清晰度分为高、中、低，分别占视频总数的21.6%、66.2%和12.2%。视频的平均点赞数和点踩数分别为34.26（标准差87.96）和0。视频的平均得分为6.65（范围2 - 12，标准差2.79）。相关性分析表明，这些视频的观看次数与上线天数和点赞数有关。视频得分与点赞数有关，年平均观看次数与观看次数和外科医生点赞数均有关。
YouTube上缺乏高质量的前列腺绿激光汽化术手术视频。需要对手术关键步骤进行更详细的解释。我们希望未来能发布更多具有更高教育价值的视频，以帮助外科医生掌握这项技术。
