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Write for me recent ieee papers on artificial intelligence pdf do my baruch philosophy capstone inimey ippadithan movie review behindwoods top effectives that we have preferred in our in our institution comparing robotic and open like shows that you know the main concern about robotic surgery all over the world and in particularly in Europe and in Italy are the high costs and we still have few available downtown literature the main dot has studied the feasibility of safety of the of the procedure but on the cost we have few few data the the problem of the hasta is of course robot purchasing Mantegna's at the cost of the instruments for operation and the disposable tools in in this study that had been published by a Korean a group of and dr. Beck comparing laparoscopic and open and robotic vector resection the cost of the procedure were higher in the robotics acting were significant higher for the operative room in cancer the duration of the operation significantly the anesthesia so the overall cost of the procedure was estimated more than almost around for $4,000 higher in the robotic group and this is a very recent paper that have been published reviewing a larger number of procedure their firm laparoscopically and robotically that was published by the group of Connor Delaney and the robotic procedure was evaluated higher in cost at or near to $5,000 higher than the same laparoscopic procedure so you can see we are at the significant higher total cost around this this five five thousand two hundred seventy dollar higher than traditional laparoscopic patient so we have to firmly respect the evaluation in our Center and we compare robotic with open surgery because for a reason that open is of course the same reimbursement we have in Italy in in our region for the robotic open or laparoscopically of rectal rejection and so we try to compare robotic with the most favorable of the other procedure and also because in our institution we should have two surgical team that different surgical team performing open surgery and minimally invasive surgery so usually in many of the series we compare our same result to the same surgeon performing laparoscopic or robotic procedure in this case we have two different team performing with highest perience in colorectal surgery performing the same oncological with two complete different technique so the study is a retrospective study but analyzing a prospective database and we compare 60 patient that robotically and open operated on this are the demography to the two groups were well matched in terms of age BMI and sex and a is a status what what are the cost which other has to be calculated for procedure for patient preparatory work up post-operative workup is the pathological processing drugs and materials disposable tools you are utilization hospital stays and complication so the direct and I and direct costs were so divided in this way the type of surgery is very very quick the clinical outcomes of course the differences were the difference that everybody was know and the literature's demonstrated between minimally invasive and and the open surgeries were less blood loss of a first bowel movement Stadium and the mean hospital stay significant shortening the robotic group six days versus eight days for the for the open in the open growth complication not significant differences only one infection for leaks for peritonitis for the incisional area and one infection we registered a significant difference so twelve percent in open procedure of incisional early and seven twenty eight percent of wound infection and an overall rate of complication higher in the open group than in the robotic growth forty two percent versus eight percent of overall complication so we analyzed the cost of wound infection because was the data that we had from our management team and the patient with one infection the number of admission for medications and the cost overall cost of wounded patient was evaluated in two thousand and six hundred and fifty euros the incisional hernia we had registered ten patient with incisional in the open group and only to where we were operated for the incisional in our Institute we don't know if they were operated the other rate in other places but the cost of the operation in our Institute was in term of hospitalization measure the pain and overall around was over four thousand and seven hundred euros direct cost comparing the two procedure app reparative post-operative workup was obviously the same and even histopathological processing drugs were higher in the open group and disposable tools and the depreciation cost of the robotic was of course present in the robotic and not in the open group and disposable higher in robotic then in the open group yes the main cost for the drugs were always related to the hemostatic agents the acute the indirect cost or coupon see robotic procedure were added a higher mean operating time and so the robotic cost was two thousand four hundred and five hundred almost of us for our occupancy auspice the stain was shortened and we save because the cost for a one day hospital stay five hundred euro so we say 1,000 euro per operation and the additional cost for all the sixty patient wound infection incisional hernia overall we're forty four for one infection and seventy eight euros for incisional or Ness so the overall cost differences from a robotic and and an OPA rector is actual were was a plus of almost two thousand euros for the robotic procedure and this is related even to the reimbursement of our National Health System and that you see is exactly the same so six thousand seven hundred the euro zone so in summary in summary we confirm what are the analysis that we have in literature of an increased cost of robotic retro resection if compared with conventional open surgery of course is very difficult to perform a cost analysis precise cost analysis because the evaluation of cost efficiency is the most crucial point I think and we try to do this because our management asked a precise cost analogy to evaluate the in hospitality in hospital costs but I think that of course percent more precise efficiency analogy must have valuated because the advantage of known of clinical benefit of course but even the advantage of a tool that can increase the number of patient that could do that a less complication like we ever seen them then open surgery must be considered to evaluate overall the cost of a procedure a total cost so to sustain the robotic use in our institution which we started with the business plan that was directed to all the specialties all the specialty are unable to use the robotic system and we're trained to do this and to reach the break-even point of to do not lose money with the use of the robotic system you need to to have a maximum use of the device and the procedure and an accurate economic evaluation of the social cost of course is really important because the number of complication the lost workdays in this analysis should should be done and not only a strict cost analysis of course the cost of the robot may decrease in in the near future because the market opening and our our conclusion is that more precise cost-effective in analysis are required to definitely address the issue and this very crucial issue about the use of robotic robotic system thank you for your attention do my example of technical background in capstone project online Frank G. Zarb School of Business.