Division of Surgical Education, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. Electronic address: http://www.twitter.com/Armaun_Rouhi.
Division of Surgical Education, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. Electronic address: http://www.twitter.com/JLRobersonMD.
Surgery. 2023 Sep;174(3):524-528. doi: 10.1016/j.surg.2023.05.021. Epub 2023 Jun 23.
Laparoscopic cholecystectomy is the most common laparoscopic procedure performed in the US and a key component of general surgery training. Surgical trainees frequently access YouTube for educational walkthroughs of surgical procedures. This study aims to evaluate the educational quality of YouTube video walkthroughs on laparoscopic cholecystectomy by using the LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) video assessment tool.
A YouTube search was conducted using "laparoscopic cholecystectomy." Results were sorted by relevance, and the top 100 videos were gathered. Videos with patient education or concomitant procedures were excluded. Included videos were categorized as Physician (produced by an individual physician), Academic (produced by a university or medical school), Commercial (produced by a surgical company), and Society (produced by a professional surgical society) and were rated by 3 investigators using the LAP-VEGaS video assessment tool (0-18).
In all, 33 videos met the selection criteria. The average LAP-VEGaS score was 7.96 ± 3.95, and inter-rater reliability was .86. Academic videos demonstrated a significantly higher mean LAP-VEGaS score than Commercial (10.69 ± 3.54 vs 5.25 ± 2.38, P = .033). Most academic videos failed to provide formal case presentations (63%), patient positioning (50%), intraoperative findings (50%), graphic aids (63%), and operative time (75%).
This is the first study to evaluate the quality of YouTube video walkthroughs on LC using the LAP-VEGaS tool. Despite demonstrating higher LAP-VEGaS scores than other categories, video walkthroughs provided by academic institutions still lack several essential educational criteria for this procedure, highlighting areas of improvement for educators.
腹腔镜胆囊切除术是美国最常见的腹腔镜手术，也是普通外科培训的重要组成部分。外科学员经常在 YouTube 上获取手术操作的教育性分步指南视频。本研究旨在使用腹腔镜手术视频教育指南（LAP-VEGaS）视频评估工具评估腹腔镜胆囊切除术 YouTube 视频分步指南的教育质量。
在 YouTube 上进行了“腹腔镜胆囊切除术”的搜索。结果按相关性排序，收集了前 100 个视频。排除了具有患者教育或伴随手术的视频。将包含的视频分为医生（由单个医生制作）、学术（由大学或医学院制作）、商业（由外科公司制作）和协会（由专业外科协会制作），并由 3 名调查员使用 LAP-VEGaS 视频评估工具（0-18 分）进行评分。
共有 33 个视频符合入选标准。平均 LAP-VEGaS 评分为 7.96±3.95，组内相关系数为 0.86。学术视频的平均 LAP-VEGaS 评分显著高于商业视频（10.69±3.54 比 5.25±2.38，P=0.033）。大多数学术视频未能提供正式的病例介绍（63%）、患者体位（50%）、术中发现（50%）、图形辅助（63%）和手术时间（75%）。
这是第一项使用 LAP-VEGaS 工具评估 LC YouTube 视频分步指南质量的研究。尽管学术机构提供的视频分步指南的 LAP-VEGaS 评分高于其他类别，但仍缺乏该手术的几个基本教育标准，这凸显了教育者需要改进的领域。
