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               DECLARATIONS
               Acknowledgments
               The authors would like to acknowledge Mrs. Kathy Lovas for her expert editorial assistance.


               Authors’ contributions
               Made substantial contributions to conception and design of the study and performed data analysis and
               interpretation, and acquisition: Ackerman JM, Sarkaria IS
               Provided administrative, technical, and material support: Sarkaria IS, Luketich JD

               Availability of data and materials
               Not applicable.

               Financial support and sponsorship
               None.


               Conflicts of interest
               Inderpal S. Sarkaria, MD, has received honoraria for consulting and speaking for Intuitive Surgical. James
               D. Luketich, MD discloses the following: Consultant: Medtronic; CE Speaker’s Bureau: Covidien;
               Stockholder: Intuitive Surgical, Inc., Cigna Corp., and Proctor & Gamble. Dr. Ackerman has no conflicts of
               interest.


               Ethical approval and consent to participate
               Not applicable.


               Consent for publication
               Patients provided consent for teaching purposes and publication of operative images.


               Copyright
               © The Author(s) 2021.


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