机器人全直肠系膜切除术视频评估框架的开发：医学专业和公共视频资源的综述与比较

Development of an evaluation framework for robotic total mesorectal excision videos: a review and comparison of medical professional and public video resources.

作者信息

Arain Zohaib, Fadel Michael G, Arif Aksaan, Robb Henry Douglas, Das Bibek, Poynter Liam, Kontovounisios Christos, Ashrafian Hutan, Lawes Daniel, Fehervari Matyas

机构信息

Department of General Surgery, Frimley NHS Foundation Trust, Camberley, UK.

Department of Surgery and Cancer, Hammersmith Hospital Campus, Imperial College London, Du Cane Road, London, W12 0NN, UK.

出版信息

Int J Colorectal Dis. 2025 May 24;40(1):127. doi: 10.1007/s00384-025-04914-w.

DOI:10.1007/s00384-025-04914-w

PMID:40411600

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12103343/

Abstract

PURPOSE

This study aims to assess the quality of educational surgical videos for robotic total mesorectal excision (TME), across widely used open-source platforms, using a newly designed quality assessment checklist.

METHODS

The checklist was developed by using existing society guidelines, such as the European Academy of Robotic Colorectal Surgery, comprising four key sections: (i) usability of the platform, (ii) video component, (iii) intraoperative techniques and (iv) other information (including case presentation and outcomes). Videos were identified using the search terms 'Robotic TME' from surgical education platforms (WebSurg, C-SATS and Touch Surgery) and YouTube, between January 2016 and July 2024. All videos displaying robotic TME were reviewed and scored using the quality assessment tool (/12), and the videos across the platforms were subsequently compared.

RESULTS

A total of 113 videos were scored using the checklist: 63 surgical education platform (10 WebSurg and 53 C-SATS) and 50 YouTube videos. The total median checklist score achieved by WebSurg (9 [IQR 8-9] and YouTube videos (8 [IQR 7-10]) was significantly higher than CSAT-S videos (4 [IQR 4-5]; p < 0.001). The usability of platform scores for YouTube was significantly higher than WebSurg and C-SATS videos (p < 0.001). Scores for video components, intraoperative techniques and other information were higher across WebSurg and YouTube videos when compared to C-SATS (p < 0.001); however, there was no significant difference between WebSurg and YouTube for each domain.

CONCLUSION

The overall educational quality of online robotic TME videos was found to be generally heterogeneous, with WebSurg and YouTube videos demonstrating higher scores based on the checklist. A new quality assessment tool has been proposed for robotic TME videos, which has the potential to improve the reliability and value of published video research.

摘要

目的

本研究旨在使用新设计的质量评估清单，评估广泛使用的开源平台上机器人全直肠系膜切除术（TME）教育手术视频的质量。

方法

该清单是根据现有学会指南制定的，如欧洲机器人结直肠外科学会的指南，包括四个关键部分：（i）平台的可用性，（ii）视频组件，（iii）术中技术，以及（iv）其他信息（包括病例介绍和结果）。在2016年1月至2024年7月期间，使用手术教育平台（WebSurg、C-SATS和Touch Surgery）和YouTube上的搜索词“机器人TME”来识别视频。对所有展示机器人TME的视频使用质量评估工具（满分12分）进行审查和评分，随后对各平台的视频进行比较。

结果

使用该清单对总共113个视频进行了评分：63个来自手术教育平台（10个来自WebSurg，53个来自C-SATS），50个来自YouTube视频。WebSurg（中位数9分[四分位间距8 - 9分]）和YouTube视频（中位数8分[四分位间距7 - 10分]）的清单总分显著高于C-SATS视频（中位数4分[四分位间距4 - 5分]；p < 0.001）。YouTube的平台可用性得分显著高于WebSurg和C-SATS视频（p < 0.001）。与C-SATS相比，WebSurg和YouTube视频在视频组件、术中技术和其他信息方面的得分更高（p < 0.001）；然而，在每个领域，WebSurg和YouTube之间没有显著差异。