张 虎,周欣颖,钟文静,徐 宏,段迎春

目的：评估国内网站上的腹腔镜全子宫切除术手术视频的教育质量。方法：2023年10月26日在丁香园、妇产科在线及中国妇产科网上检索腹腔镜全子宫切除术手术视频。根据纳排标准，对纳入的视频进行基本信息采集，随后2名医师使用腹腔镜技术的全球操作评估（global operative assessment of laparoscopic skills,GOALS）对其进行手术技术评分，并依据腹腔镜手术视频教育指南(laparoscopic surgery video educational guidelines，LAP-VEGaS)对视频教学价值进行测评。结果：共纳入56个手术视频。该系列手术视频的GOALS评分为（21.941.95）分，LAP-VEGas评分为7.0（5.5，9.0）分。结论：国内网站上腹腔镜全子宫切除术视频手术水平较高，可以为学员提供该术式的基本操作，但视频中教育教学内容需进一步提升。

LAP-VEGaS；GOALS；腹腔镜下全子宫切除术；教育视频；腹腔镜手术；手术教育；视频质量

[1] Daniel R,McKechnie T,Kruse C C,et al.Video-based coaching for surgical residents:a systematic review and meta-analysis[J].Surg Endosc,2023,37(2):1429-1439. [2] Celentano V,Smart N,Cahill R A,et al.Development and validation of a recommended checklist for assessment of surgical videos quality:the LAParoscopic surgery Video Educational GuidelineS(LAP-VEGaS)video assessment tool[J].Surg Endosc, 2021, 35(3):1362- 1369. [3] Vassiliou M C,Feldman L S,Andrew C G,et al.A global assessment tool for evaluation of intraoperative laparoscopic skills[J].Am J Surg,2005,190(1):107-113. [4] Grüter AAJ,Van Lieshout AS,van Oostendorp SE,et al.Video-based tools for surgical quality assessment of technical skills in laparoscopic procedures:a systematic review.Surg Endosc.2023;37(6):4279-4297. [5] Unal F,Atakul N,Turan H,et al.Evaluation of YouTube laparoscopic hysterectomy videos as educational materials during the COVID-19 era using the LAParoscopic surgery Video Educational GuidelineS(LAP-VEGaS)and LAP-VEGaS video assessment tool[J].J Obstet Gynaecol,2022,42(5):1325-1330. [6] Can S,Aktoz F.Laparoscopic myomectomy videos on WebSurg and YouTube:does peer review process make a difference?.J Turk Ger Gynecol Assoc.2024;25(1):24-29. [7] Roberson J L,Rouhi A D,Bader A L,et al.Evaluation of the educational quality of publicly available online videos on laparoscopic jejunostomy by utilizing the LAP-VEGaS guidelines[J].Surg Endosc,2023,37(8):6565-6568. [8] Kayar R,Kayar K,Tokuc E,et al.Educational Level of Laparoscopic Radical Nephrectomy Videos on YouTubeTM.J Laparoendosc Adv Surg Tech A.2024;34(8):731-735.

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