Abstract：
BACKGROUND: The robotic transabdominal preperitoneal approach (rTAPP) is a relatively recent technique for the treatment of inguinal hernia. To achieve optimal results, the 10 golden rules described must be followed. Surgeons in training often review videos to familiarize themselves with new techniques, YouTube being one of the most used platforms. The objective of this study is to carry out an evaluation of the 10 most viewed videos on YouTube of inguinal hernia repair by transabdominal preperitoneal approach (rTAPP) to determine if the 10 golden rules are met.
METHODS: Identify and evaluate the 10 videos with the highest number of views related to rTAPP. Three experienced Surgeons evaluated compliance with the 10 golden rules using a Likert scale. Data were analyzed in Excel (Microsoft) and plotted with Tableau (Tableau Inc). The consistency between evaluators was determined using Cronbach\'s alpha, considering a value >0.7 acceptable.
RESULTS: The average overall evaluation was 3.63 with a range of 2.6 to 4.9. The scores related to compliance with the rules 1, 2, 9, 10 were satisfactory; on the other hand, rules 3, 4, 5, 7 and 8 were weak, particularly rule number 7. Internal consistency was observed between raters with a Cronbach\'s alpha of 0.98.
CONCLUSIONS: The lack of compliance with the 10 golden rules in most of the videos demonstrates that the use of videos (YouTube) is not an adequate resource for learning robot-assisted inguinal hernia cure.
METHODS: Identify and evaluate the 10 videos with the highest number of views related to rTAPP. Three experienced Surgeons evaluated compliance with the 10 golden rules using a Likert scale. Data were analyzed in Excel (Microsoft) and plotted with Tableau (Tableau Inc). The consistency between evaluators was determined using Cronbach\'s alpha, considering a value >0.7 acceptable.
RESULTS: The average overall evaluation was 3.63 with a range of 2.6 to 4.9. The scores related to compliance with the rules 1, 2, 9, 10 were satisfactory; on the other hand, rules 3, 4, 5, 7 and 8 were weak, particularly rule number 7. Internal consistency was observed between raters with a Cronbach\'s alpha of 0.98.
CONCLUSIONS: The lack of compliance with the 10 golden rules in most of the videos demonstrates that the use of videos (YouTube) is not an adequate resource for learning robot-assisted inguinal hernia cure.
摘要：
背景：机器人经腹腹膜前入路（rTAPP）是一种相对较新的治疗腹股沟疝的技术。为了获得最佳结果，必须遵守所描述的10条黄金法则。培训中的外科医生经常查看视频以熟悉新技术，YouTube是最常用的平台之一。这项研究的目的是对YouTube上观看次数最多的10个视频进行评估，以确定是否符合10条黄金法则。
方法：确定并评估与rTAPP相关的观看次数最多的10个视频。三位经验丰富的外科医生使用李克特量表评估了对10条黄金法则的遵守情况。在Excel(Microsoft)中分析数据并用Tableau(TableauInc)作图。评估者之间的一致性是用克朗巴赫的阿尔法来确定的，考虑值>0.7可接受。
结果：平均总体评估为3.63，范围为2.6至4.9。与遵守规则1,2,9,10有关的分数令人满意；另一方面，规则3、4、5、7和8较弱，尤其是规则7.在Cronbach'sα为0.98的评估者之间观察到内部一致性。
结论：大多数视频缺乏遵守10条黄金法则，这表明使用视频（YouTube）并不是学习机器人辅助腹股沟疝治疗的适当资源。
方法：确定并评估与rTAPP相关的观看次数最多的10个视频。三位经验丰富的外科医生使用李克特量表评估了对10条黄金法则的遵守情况。在Excel(Microsoft)中分析数据并用Tableau(TableauInc)作图。评估者之间的一致性是用克朗巴赫的阿尔法来确定的，考虑值>0.7可接受。
结果：平均总体评估为3.63，范围为2.6至4.9。与遵守规则1,2,9,10有关的分数令人满意；另一方面，规则3、4、5、7和8较弱，尤其是规则7.在Cronbach'sα为0.98的评估者之间观察到内部一致性。
结论：大多数视频缺乏遵守10条黄金法则，这表明使用视频（YouTube）并不是学习机器人辅助腹股沟疝治疗的适当资源。
