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Article History

Received: 23 November 2024

Accepted: 24 May 2025

First Online: 13 June 2025

Declarations

: Note: parts of this work have been presented at the EHS- Congress in Sitges, Spain, 3rd -5th may 2023, published in abstract form in Br J Surg. 2023, Volume 110, Issue Supplement_2, May 2023.

: This study was performed in line with the principles of Declaration of Helsinki. Approval was granted by the following Ethics Committees for clinic 001: University Heidelberg Ethic committee, project number: S-247/2019, date of approval: 25th April 2019, clinic 002: Ethics committee Landesärztekammer Baden-Württemberg, project number: B-F-2019-065, date of approval: 2nd July 2019, clinic 003: Fundacio Unio Catalana d´Hospitals, project Number: CEI: 19/69, date of approval: 8th November 2019 and for clinic 004: Comité d´ Etica de la Investigación, Project number: AC-19-092-HGT-CEIMPS, date of approval: 21 st October 2019.

: Informed consent was obtained from all individuals participants included in this study.No personal identifying data is published in this article. Therefore, Institutional Review Boards did not require explicit consent for publication from individual data.

: The authors declare no competing interests.