Evidence map›Paper›PMID 39009732›Full record

ArticleSurgical endoscopy2024

Online videos of robotic-assisted cholecystectomies: more harm than good?

Riley Brian, Camilla Gomes, Adnan Alseidi, Irving Jorge, Cris Malino, Eric Knauer, Domenech Asbun, Shanley B Deal, Ian Soriano

Abstract read
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Riley BrianDepartment of Surgery, University of California San Francisco, 513 Parnassus Ave, S-321, San Francisco, CA, 94143, USA. riley.brian@ucsf.edu.ORCID 0000-0002-7462-3214
Camilla GomesDepartment of Surgery, University of California San Francisco, 513 Parnassus Ave, S-321, San Francisco, CA, 94143, USA.
Adnan AlseidiDepartment of Surgery, University of California San Francisco, 513 Parnassus Ave, S-321, San Francisco, CA, 94143, USA.
Irving JorgeDepartment of Surgery, Mayo Clinic, Phoenix, AZ, USA.
Cris MalinoRural Physicians Group, Greenwich Village, CO, USA.
Eric KnauerDepartment of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Domenech AsbunHepatobiliary & Pancreatic Surgery, Miami Cancer Institute, Miami, FL, USA.
Shanley B DealDepartment of Surgery, Virginia Mason Medical Center, Seattle, WA, USA.
Ian SorianoDepartment of Surgery, University of California San Francisco, 513 Parnassus Ave, S-321, San Francisco, CA, 94143, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany surgeons use online videos to learn. However, these videos vary in content, quality, and educational value. In the setting of recent work questioning the safety of robotic-assisted cholecystectomies, we aimed (1) to identify highly watched online videos of robotic-assisted cholecystectomies, (2) to determine whether these videos demonstrate suboptimal techniques, and (3) to compare videos based on platform.

methodsTwo authors searched YouTube and a members-only Facebook group to identify highly watched videos of robotic-assisted cholecystectomies. Three members of the Society of American Gastrointestinal and Endoscopic Surgeons Safe Cholecystectomy Task Force then reviewed videos in random order. These three members rated each video using Sanford and Strasberg's six-point criteria for critical view of safety (CVS) scoring and the Parkland grading scale for cholecystitis. We performed regression to determine any association between Parkland grade and CVS score. We also compared scores between the YouTube and Facebook videos using a t test.

resultsWe identified 50 videos of robotic-assisted cholecystectomies, including 25 from YouTube and 25 from Facebook. Of the 50 videos, six demonstrated a top-down approach. The remaining 44 videos received a mean of 2.4 of 6 points for the CVS score (SD = 1.8). Overall, 4 of the 50 videos (8%) received a passing CVS score of 5 or 6. Videos received a mean of 2.4 of 5 points for the Parkland grade (SD = 0.9). Videos on YouTube had lower CVS scores than videos on Facebook (1.9 vs. 2.8, respectively), though this difference was not significant (p = 0.09). By regression, there was no association between Parkland grade and CVS score (p = 0.13).

conclusionPublicly available and closed-group online videos of robotic-assisted cholecystectomy demonstrated inadequate dissection and may be of limited educational value. Future work should center on introducing measures to identify and feature videos with high-quality techniques most useful to surgeons.

Indexed as

CholecystectomyRobotic Surgical ProceduresVideo RecordingCholecystectomy, LaparoscopicHumansInternetSocial MediaCholecystectomyOnline educationRobotic surgeryVideo-based education

Identifiers

PMID39009732
PMCPMC11362377

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.