How to report educational videos in robotic surgery: an international multidisciplinary consensus statement

Valerio Celentano,Conrad Ballecer,Venkatesh Munikrishnan,Jim Khan,Mark G Coleman,Hirotoshi Hasegawa,Filip Muysoms,John Mcgrath,Jamil Ahmed,Ben Challacombe,Igor Belyansky,Avanish Saklani,Antonino Spinelli,Ronan A Cahill,Daniel Popowich,Neil Smart,Gianluca Pellino

doi:10.1007/s13304-020-00734-5

Abstract

The swift endorsement of the robotic surgical platform indicates that it might prevail as the preferred technique for many complex abdominal and pelvic operations. Nonetheless, use of the surgical robotic system introduces further layers of complexity into the operating theatre necessitating new training models. Instructive videos with relevant exposition could be optimal for early training in robotic surgery and the aim of this study was to develop consensus guidelines on how to report a robotic surgery video for educational purposes to achieve high quality educational video outputs that could enhance surgical training. A steering group prepared a Delphi survey of 46 statements, which was distributed and voted on utilising an electronic survey tool. The selection of committee members was designed to include representative surgical trainers worldwide across different specialties, including lower and upper gastrointestinal surgery, general surgery, gynaecology and urology. 36 consensus statements were approved and classified in seven categories: author’s information and video introduction, case presentation, demonstration of the surgical procedure, outcomes of the procedure, associated educational content, review of surgical videos quality and use of surgical videos in educational curricula. Consensus guidelines on how to report robotic surgery videos for educational purposes have been elaborated utilising Delphi methodology. We recommend that adherence to the guidelines presented could support advancing the educational quality of video outputs when designed for training.

Highlights

Robotic assisted surgery has the potential to surmount some of the restraints of laparoscopy, presenting an immersive 3-dimensional depth of field, articulating instruments and a stable camera platform [1]
The swift endorsement of the robotic surgical platform indicates that it might prevail as the preferred technique for many complex abdominal and pelvic operations
Committee members were selected on the basis of previously published experience in guidelines development [13] on distance learning in surgery [12], minimally invasive surgery training programme development [14] and dissemination of online surgical videos [15]. 18 experts made up this committee

Summary

Introduction

Robotic assisted surgery has the potential to surmount some of the restraints of laparoscopy, presenting an immersive 3-dimensional depth of field, articulating instruments and a stable camera platform [1]. Use of the surgical robotic system introduces further layers of complexity into the operating theatre, including a change in the conventional surgeon and trainee relationship, new highly developed technology, different motor and visual skills, and challenges in communication, necessitating new training models [2]. Each robotic system is costly and is likely to be highly demanded for clinical use; as a consequence simulation training exercises may need to happen outside of clinical work time to access this resource, which can inhibit its use. Especially for trainees, comprehend the competition for trainee time for other highly set educational activities, clinical commitments and working hours restrictions [5]. Observing live operating, attending educational workshops and seminars are all valuable resources but necessitate surgeons to interrupt their clinical activity to attend dedicated training sessions [6]. Instructive videos with relevant exposition could be exemplary for early training in robotic surgery [7] and can be developed even with

Objectives

Methods

Conclusion