“…To overcome these limitations, in our hospital the surgical team include a senior consultant, a surgeon without great experience and a resident. Surgeries are performed with traditional techniques [ [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] ] and innovative methods [ [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] ] according to characteristics of the patient. An accurate selection of the case [ 54 ] is the key for successful application of new methods in terms of cost-effectiveness.…”