Rouhi Armaun D, Roberson Jeffrey L, Kindall Emily, Ghanem Yazid K, Yi William S, Williams Noel N, Dumon Kristoffel R
Division of Surgical Education, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
Department of Surgery, Cooper University Hospital, Camden, NJ, United States.
Surg Pract Sci. 2023 Jul 1;14:100199. doi: 10.1016/j.sipas.2023.100199. eCollection 2023 Sep.
General surgery residents frequently access YouTube® for educational walkthroughs of surgical procedures. The aim of this study is to evaluate the educational quality of YouTube® video walkthroughs on Laparoscopic Roux-en-Y gastric bypass (LRYGB) using a validated video assessment tool.
A retrospective review of YouTube® videos was conducted for "laparoscopic Roux-en-Y gastric bypass", "laparoscopic RYGB", and "laparoscopic gastric bypass." The top 100 videos from three YouTube® searches were gathered and duplicates were removed. Included videos were categorized as Physician (produced by individual physician), Academic (university/medical school), or Society (professional surgical society) and rated by three independent investigators using the LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) video assessment tool (0-18). The data were analyzed using one-way ANOVA with Bonferroni correction and Spearman's correlation test.
Of 300 videos gathered, 31 unique videos met selection criteria and were analyzed. The average LAP-VEGaS score was 8.67 (SD 3.51). Society videos demonstrated a significantly higher mean LAP-VEGaS score than Physician videos ( = 0.023). Most videos lacked formal case presentation (71%), intraoperative findings (81%), and operative time (76%). No correlation was demonstrated between LAP-VEGaS scores and number of likes or views, video length, or upload date.
LRYGB training videos on YouTube® generally do not adhere to the LAP-VEGaS guidelines and are of poor educational quality, signaling areas of improvement for educators.
普通外科住院医师经常通过YouTube®获取手术操作的教学演示。本研究旨在使用经过验证的视频评估工具，评估YouTube®上腹腔镜Roux-en-Y胃旁路术（LRYGB）视频演示的教学质量。
对YouTube®上搜索“腹腔镜Roux-en-Y胃旁路术”、“腹腔镜RYGB”和“腹腔镜胃旁路术”的视频进行回顾性分析。收集三个YouTube®搜索结果中排名前100的视频，并去除重复视频。纳入的视频分为医生制作（由个体医生制作）、学术机构制作（大学/医学院）或学会制作（专业外科学会）三类，并由三名独立研究人员使用腹腔镜手术视频教育指南（LAP-VEGaS）视频评估工具（0-18分）进行评分。采用单因素方差分析及Bonferroni校正和Spearman相关性检验对数据进行分析。
在收集的300个视频中，31个符合选择标准的视频被纳入分析。LAP-VEGaS平均评分为8.67（标准差3.51）。学会制作的视频LAP-VEGaS平均得分显著高于医生制作的视频（P = 0.023）。大多数视频缺乏正式的病例介绍（71%）、术中发现（81%）和手术时间（76%）。LAP-VEGaS评分与点赞数、观看次数、视频长度或上传日期之间未显示出相关性。
YouTube®上的LRYGB培训视频通常不符合LAP-VEGaS指南，教学质量较差，这为教育工作者指明了改进方向。
