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[Music] theres anybody studying this on a systematic fashion looking at because obviously you could you could compare open-open with ear ass robotic or laparoscopic with ear ass you can do open without ear ass is anybody looking at that in a systematic fashion do you know if oh my goodness I dont know that there are any randomised trials comparing I think that theres been actually a lot of basic science work looking at bowel manipulation and the release of inflammatory mediators nitric oxide and the rest of that and its clear that the more the bowel is manipulated the more that these inflammatory mediators are released which increases the likelihood of developing both hypo motility and edema of the intestine all right so so from a from a basic science standpoint we understand that thats the truth now with respect to with respect to is anyone doing a true randomized trial with respect to that Im afraid were we still are zealots around things you find people that have decided arhh