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Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The requirement of ethical approval was waived by Division of General Surgery, UNC for the studies involving humans because deidentified data from national database. The studies were conducted in accordance with the local legislation and institutional requirements. 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