Table 2.
Results of the Delphi process for inclusion of items in the LAP-VEGaS video assessment tool
| Nr | Item description | Mean score | Standard deviation |
|---|---|---|---|
| 1 | Authors and Institution information. Title of the video including name of the procedure and pathology treated | 4.8 | 0.1 |
| 2 | Formal presentation of the case, including age, sex, American society of Anaesthesiologist Score (ASA), Body Mass Index (BMI), indication for surgery, comorbidities and history of previous surgery. Anonymised relevant imaging is presented | 4.6 | 0.4 |
| 3 | Position of patients, access ports, extraction site and surgical team | 4.8 | 0.2 |
| 4 | The surgical procedure is presented in a standardised step-by-step fashion | 4.7 | 0.3 |
| 5 | The intraoperative findings are clearly demonstrated, with constant reference to the anatomy | 4.8 | 0.2 |
| 6 | Relevant outcomes of the procedure are presented, including operating time, length of hospital stay and postoperative morbidityb | 4.4 | 0.5 |
| 7 | Histopathology assessment of the specimen is presented, supported by pictures of the specimen(s)b | 3.5 | 0.6 |
| 8 | Additional educational content is included. (Diagrams, photos, snapshots and tables used to demonstrate anatomical landmarks, relevant or unexpected finding) | 4.0 | 0.7 |
| 9 | Audio/written commentary in English language is provided | 4.4 | 0.6 |
| 10 | The image quality is appropriate with constant clear view of the operating field and appropriate camera angle. Video speed is appropriate | 4.8 | 0.2 |
| 11 | The video demonstrates an unusual case or management of intraoperative complicationsa | 3.3 | 0.9 |
| 12 | The procedure demonstrates competent use of dominant and nondominant hand with appropriate degree of traction and safe use of grasping and dissecting instrumentsa | 3.2 | 0.9 |
| 13 | The procedure demonstrates appropriate speed and economy of movements, finishing one step before starting the next and avoiding rough tissue handling and unnecessary movementsa | 3.2 | 0.9 |
| 14 | The video is recorded full length or with minimal editinga | 2.4 | 0.9 |
Steering committee members answered the question “This item should be included in the LAP-VEGaS marking sheet”: 1. Strongly disagree, 2. Disagree, 3. Neither agree or disagree, 4. Agree, 5. Strongly agree
aItems not reaching ≥ 80% consensus even following the second round of voting were not included
bFollowing round one, items 6 and 7 were collated into one single item and reached a 4.7 ± 0.2 agreement in round 2 of the Delphi process