Department of Surgery and Cancer, Imperial College London, London, UK.
Department of Bariatric and Metabolic Surgery, Chelsea and Westminster Hospital, London, UK.
Obes Surg. 2024 May;34(5):1909-1916. doi: 10.1007/s11695-024-07199-0. Epub 2024 Apr 6.
BACKGROUND: Video recording of surgical procedures is increasing in popularity. They are presented in various platforms, many of which are not peer-reviewed. Laparoscopic sleeve gastrectomy (LSG) videos are widely available; however, there is limited evidence supporting the use of reporting guidelines when uploading LSG videos to create a valuable educational video. We aimed to determine the variations and establish the quality of published LSG videos, in both peer-reviewed literature and on YouTube, using a newly designed checklist to improve the quality and enhance the transparency of video reporting. METHODS: A quality assessment tool was designed by using existing research and society guidelines, such as the Bariatric Metabolic Surgery Standardization (BMSS). A systematic review using PRISMA guidelines was performed on MEDLINE and EMBASE databases to identify video case reports (academic videos) and a similar search was performed on the commercial YouTube platform (commercial videos) simultaneously. All videos displaying LSG were reviewed and scored using the quality assessment tool. Academic and commercial videos were subsequently compared and an evidence-based checklist was created. RESULTS: A total of 93 LSG recordings including 26 academic and 67 commercial videos were reviewed. Mean score of the checklist was 5/11 and 4/11 for videos published in articles and YouTube, respectively. Academic videos had higher rates of describing instruments used, such as orogastric tube (P < 0.001) and stapler information (P = 0.04). Fifty-four percent of academic videos described short-term patient outcomes, while not reported in commercial videos (P < 0.001). Sleeve resection status was not universally reported. CONCLUSIONS: Videos published in the academic literature are describing steps in greater detail with more emphasis on specific technical elements and patient outcomes and thus have a higher educational value. A new quality assessment tool has been proposed for video reporting guidelines to improve the reliability and value of published video research.
背景：手术过程的视频记录越来越受欢迎。它们在各种平台上展示，其中许多平台未经同行评审。腹腔镜袖状胃切除术（LSG）视频广泛可用；然而，在将 LSG 视频上传到创建有价值的教育视频时，支持使用报告指南的证据有限。我们旨在使用新设计的清单确定在同行评审文献和 YouTube 上发表的 LSG 视频的变化，并建立质量，以提高视频报告的质量和透明度。
方法：使用现有的研究和社会指南（例如减重代谢手术标准化（BMSS））设计了质量评估工具。使用 PRISMA 指南对 MEDLINE 和 EMBASE 数据库进行了系统评价，以确定视频病例报告（学术视频），并且同时在商业 YouTube 平台（商业视频）上进行了类似的搜索。使用质量评估工具审查和评分显示 LSG 的所有视频。随后对学术和商业视频进行了比较，并创建了一个基于证据的清单。
结果：共审查了 93 个 LSG 记录，包括 26 个学术视频和 67 个商业视频。清单的平均得分为 5/11 和 4/11，分别用于在文章和 YouTube 上发表的视频。学术视频更有可能描述使用的仪器，例如经口胃管（P<0.001）和吻合器信息（P=0.04）。54％的学术视频描述了短期患者结局，而商业视频未报告（P<0.001）。袖状切除状态未普遍报告。
结论：在学术文献中发表的视频更详细地描述了步骤，更强调特定的技术要素和患者结局，因此具有更高的教育价值。已经提出了一个新的质量评估工具，用于视频报告指南，以提高已发表视频研究的可靠性和价值。
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