Transanal total mesorectal excision (TaTME): are we doing it for the right indication? An assessment of the external validity of published online video resources
Research output: Contribution to journal › Article › peer-review
Methods - TaTME videos were systematically searched on YouTube.com, Colorectal diseases video channel, WebSurg.com, and AIS channel. Data collected included video characteristics, presence of supplementary educational content, patient details, indication for surgery, different steps of TaTME presented, and surgical outcomes.
Results - Forty-six videos were included with a median of 92 views per month. Nineteen videos (41.3%) reported the age of the participants and 29 patients were male (63%). Body mass index (BMI) was reported in 20 videos (43.5%) with a median of 27 and it indicated obesity (BMI ≥ 30) in 2 cases only. The use of neoadjuvant treatment was reported in 8 cases (17.4%). Eighteen videos (39.1%) reported the distance of the tumor from the anal verge, with a median of 6.4 cm and in 9 out of 18 cases, the tumor distance from the anal verge was 7 cm or higher. Pathological staging was reported in 17 videos (37.0%), with 1 T1, 3 T2, 10 T3, and 3 T4 tumors.
Conclusions - There is considerable interest in TaTME videos. Lack of consensus on reporting of these videos limits the educational value of these resources, which are missing important patient details and postoperative outcomes.
|Journal||International Journal of Colorectal Disease|
|Early online date||5 Sep 2019|
|Publication status||Published - 1 Oct 2019|
- Transanal total mesorectal excision
Rights statement: This is a post-peer-review, pre-copyedit version of an article published in International Journal of Colorectal Disease. The final authenticated version is available online at: https://doi.org/10.1007/s00384-019-03377-0.
Accepted author manuscript (Post-print), 709 KB, PDF document