{
  "caseId": "CASE-002",
  "sessionStartTime": "2026-05-26T08:52:03.189Z",
  "exportedAt": "2026-05-26T22:18:20.435Z",
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      "index": 0,
      "videoTime": "00:02",
      "audioTime": "00:00",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And you can comment.",
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      "index": 1,
      "videoTime": "00:11",
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      "trigger_type": "observation",
      "text": "Okay, so verbally comment as it's going.",
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      "index": 2,
      "videoTime": "00:28",
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      "trigger_type": "observation",
      "text": "Yeah, verbally comment.",
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    {
      "index": 3,
      "videoTime": "00:38",
      "audioTime": "00:07",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "So this seems to be a system escape.",
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      "index": 4,
      "videoTime": "00:48",
      "audioTime": "00:09",
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      "trigger_type": "observation",
      "text": "You don't have to skip any part.",
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      "index": 5,
      "videoTime": "02:59",
      "audioTime": "00:13",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "So we're going to just get through the system here.",
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      "index": 6,
      "videoTime": "03:57",
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      "category": "neutral",
      "trigger_type": "observation",
      "text": "And we're still on the system.",
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      "index": 7,
      "videoTime": "04:12",
      "audioTime": "00:22",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Okay, good.",
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      "index": 8,
      "videoTime": "04:22",
      "audioTime": "00:24",
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      "trigger_type": "observation",
      "text": "So now we're doing a hand assist.",
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      "index": 9,
      "videoTime": "04:42",
      "audioTime": "00:16",
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      "trigger_type": "observation",
      "text": "So there's a hand assist.",
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      "index": 10,
      "videoTime": "04:52",
      "audioTime": "00:30",
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      "trigger_type": "observation",
      "text": "Procedure and patient's thin.",
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      "trigger_type": "observation",
      "text": "And the hand is looking at the transverse colon.",
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      "index": 12,
      "videoTime": "05:37",
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      "trigger_type": "observation",
      "text": "And moving the small bowel a little bit.",
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      "index": 13,
      "videoTime": "06:17",
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      "trigger_type": "observation",
      "text": "Oh, I see.",
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      "index": 14,
      "videoTime": "06:27",
      "audioTime": "00:49",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "So they're holding up the IMB.",
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      "index": 15,
      "videoTime": "06:55",
      "audioTime": "00:55",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And seeing the ureter with Firefly.",
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      "index": 16,
      "videoTime": "07:20",
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      "trigger_type": "observation",
      "text": "Now looking at the appendix.",
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      "index": 17,
      "videoTime": "07:30",
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      "text": "Seeing the ureter.",
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      "index": 18,
      "videoTime": "07:40",
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      "trigger_type": "observation",
      "text": "So the hand, I expect this is maybe a total collecting or something.",
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      "index": 19,
      "videoTime": "08:20",
      "audioTime": "01:12",
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      "trigger_type": "observation",
      "text": "So hand assist starting at the right.",
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      "index": 20,
      "videoTime": "13:13",
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      "text": "Using energy to mobilize the colon laterally.",
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      "videoTime": "15:07",
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      "text": "Some adhesions of the flexure.",
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      "videoTime": "16:39",
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      "category": "concern",
      "trigger_type": "warning",
      "text": "So the hand keeps getting in the way of the camera.",
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      "index": 23,
      "videoTime": "16:53",
      "audioTime": "02:02",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Good.",
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      "index": 24,
      "videoTime": "16:57",
      "audioTime": "02:04",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Good vibes with the energy.",
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    {
      "index": 25,
      "videoTime": "17:01",
      "audioTime": "02:06",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Okay.",
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    },
    {
      "index": 26,
      "videoTime": "17:05",
      "audioTime": "02:08",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "So the hand is looking at the ureter.",
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    {
      "index": 27,
      "videoTime": "17:15",
      "audioTime": "02:13",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And the hand is looking at the colon.",
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    },
    {
      "index": 28,
      "videoTime": "17:19",
      "audioTime": "02:15",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Okay.",
      "surgeon_vote": null,
      "surgeon_reply": "",
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    },
    {
      "index": 29,
      "videoTime": "17:23",
      "audioTime": "02:17",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "So the hand is looking at the colon.",
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      "surgeon_reply": "",
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    {
      "index": 30,
      "videoTime": "17:27",
      "audioTime": "02:19",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Okay.",
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    },
    {
      "index": 31,
      "videoTime": "17:32",
      "audioTime": "02:21",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Good vibes with the energy device.",
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      "index": 32,
      "videoTime": "17:46",
      "audioTime": "02:28",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "And good use of the hand to provide retraction.",
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    {
      "index": 33,
      "videoTime": "18:10",
      "audioTime": "02:39",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "I'm going to go back to 5x now.",
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    {
      "index": 34,
      "videoTime": "18:25",
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      "category": "neutral",
      "trigger_type": "observation",
      "text": "So looks like we're probably doing a total collectomy here.",
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    {
      "index": 35,
      "videoTime": "19:10",
      "audioTime": "02:51",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Looks like the surgeon is pointing out some things to the assistant.",
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    {
      "index": 36,
      "videoTime": "20:00",
      "audioTime": "03:01",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "The instruments aren't moving.",
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      "index": 37,
      "videoTime": "20:10",
      "audioTime": "03:03",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Looks like maybe the hand came out and went back in again.",
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      "index": 38,
      "videoTime": "20:45",
      "audioTime": "03:10",
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      "trigger_type": "observation",
      "text": "The surgeon is pointing out to the assistant where to go.",
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    {
      "index": 39,
      "videoTime": "21:08",
      "audioTime": "03:15",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And the surgeon is doing some finger dissection to move the assistant along in the right plane.",
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      "index": 40,
      "videoTime": "22:08",
      "audioTime": "03:27",
      "category": "concern",
      "trigger_type": "warning",
      "text": "A little bit of bleeding.",
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      "index": 41,
      "videoTime": "23:03",
      "audioTime": "03:38",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Dividing the gastrocollic momentum.",
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    {
      "index": 42,
      "videoTime": "23:38",
      "audioTime": "03:45",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Looks like this one's to be a total collectomy.",
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    {
      "index": 43,
      "videoTime": "23:48",
      "audioTime": "03:47",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Nice use of the hand to facilitate the dissection.",
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      "index": 44,
      "videoTime": "24:28",
      "audioTime": "03:55",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Hand came out and went back in again I think.",
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      "index": 45,
      "videoTime": "24:38",
      "audioTime": "03:57",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "It looks like the surgeon is assisting.",
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      "index": 46,
      "videoTime": "24:48",
      "audioTime": "03:59",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Okay.",
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    {
      "index": 47,
      "videoTime": "24:58",
      "audioTime": "04:01",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Good.",
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    },
    {
      "index": 48,
      "videoTime": "25:08",
      "audioTime": "04:03",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Good.",
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    },
    {
      "index": 49,
      "videoTime": "25:18",
      "audioTime": "04:05",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Good.",
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    },
    {
      "index": 50,
      "videoTime": "25:28",
      "audioTime": "04:07",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Good.",
      "surgeon_vote": null,
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    },
    {
      "index": 51,
      "videoTime": "25:38",
      "audioTime": "04:09",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Good.",
      "surgeon_vote": null,
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    },
    {
      "index": 52,
      "videoTime": "25:48",
      "audioTime": "04:11",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Good.",
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    },
    {
      "index": 53,
      "videoTime": "26:01",
      "audioTime": "04:14",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "The surgeon is assisting him or herself now with a hand and a grasp.",
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    {
      "index": 54,
      "videoTime": "26:41",
      "audioTime": "04:22",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And then directing the assistant where to go.",
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      "index": 55,
      "videoTime": "27:16",
      "audioTime": "04:29",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "They've decided they want to preserve the momentum so they corrected.",
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    {
      "index": 56,
      "videoTime": "28:31",
      "audioTime": "04:36",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And now preserving some momentum and coming right along.",
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    {
      "index": 57,
      "videoTime": "29:11",
      "audioTime": "04:44",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "The transverse colon.",
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    {
      "index": 58,
      "videoTime": "29:31",
      "audioTime": "04:48",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Very successful and efficient right now.",
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    {
      "index": 59,
      "videoTime": "31:49",
      "audioTime": "05:02",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "So the surgeon is using a grasper and the hand to guide the assistant with the energy device across the whole transverse colon very nicely.",
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    {
      "index": 60,
      "videoTime": "32:49",
      "audioTime": "05:14",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And now the lesser sac is pretty wide open which helps.",
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    {
      "index": 61,
      "videoTime": "34:14",
      "audioTime": "05:31",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Or maybe they're just making it look easy.",
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    {
      "index": 62,
      "videoTime": "34:34",
      "audioTime": "05:35",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "So now at the osmotic flexor still approaching it medial to lateral and not medial to lateral but from the transverse colon side.",
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    {
      "index": 63,
      "videoTime": "35:17",
      "audioTime": "05:43",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "And nice.",
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    {
      "index": 64,
      "videoTime": "35:17",
      "audioTime": "05:43",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Very nice.",
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    {
      "index": 65,
      "videoTime": "35:42",
      "audioTime": "05:48",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "I'm guessing this is the total colectomy.",
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    {
      "index": 66,
      "videoTime": "35:57",
      "audioTime": "05:51",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "They haven't taken any mesentery yet.",
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    {
      "index": 67,
      "videoTime": "36:12",
      "audioTime": "05:54",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "They're just doing mobilization.",
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    {
      "index": 68,
      "videoTime": "36:47",
      "audioTime": "06:01",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Using a little bit of a shirvel to look close to the bowel which makes me think this is probably all coming out.",
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    {
      "index": 69,
      "videoTime": "37:47",
      "audioTime": "06:13",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Good use of the hand to facilitate the conception.",
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    {
      "index": 70,
      "videoTime": "38:12",
      "audioTime": "06:18",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Preparing each bite by sweeping.",
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    {
      "index": 71,
      "videoTime": "38:57",
      "audioTime": "06:27",
      "category": "concern",
      "trigger_type": "warning",
      "text": "The camera person is a little confused now.",
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    {
      "index": 72,
      "videoTime": "39:22",
      "audioTime": "06:32",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And continuing down the descent colon.",
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    {
      "index": 73,
      "videoTime": "40:17",
      "audioTime": "06:43",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And down the lower abdomen.",
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    {
      "index": 74,
      "videoTime": "40:57",
      "audioTime": "06:51",
      "category": "concern",
      "trigger_type": "warning",
      "text": "The hands getting in the way more as usual.",
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    {
      "index": 75,
      "videoTime": "43:30",
      "audioTime": "07:22",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "So they're using the firefly intermittently to see where the ureter is now.",
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    {
      "index": 76,
      "videoTime": "44:05",
      "audioTime": "07:29",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "So now back up to the transverse colon.",
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    {
      "index": 77,
      "videoTime": "44:20",
      "audioTime": "07:32",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "I think they're going to start taking the mesentery.",
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    {
      "index": 78,
      "videoTime": "44:40",
      "audioTime": "07:36",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Actually they're going to do a little more mobilization of the ascending laterally.",
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    {
      "index": 79,
      "videoTime": "46:05",
      "audioTime": "07:53",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "So they probably just don't have quite enough to take the mesentery.",
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    {
      "index": 80,
      "videoTime": "47:10",
      "audioTime": "08:06",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And holding on to the shadow.",
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    {
      "index": 81,
      "videoTime": "47:50",
      "audioTime": "08:14",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Now that you've got the mesentery working very efficiently, using the full length of the energy device, and double burning as needed.",
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    {
      "index": 82,
      "videoTime": "50:43",
      "audioTime": "08:49",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Patient's very thin, so you can actually see all the individual vessels.",
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    {
      "index": 83,
      "videoTime": "51:59",
      "audioTime": "09:04",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "I usually take the mesentery in segments as I do the mobilization, but they've done this very efficiently, doing it as separate steps.",
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    {
      "index": 84,
      "videoTime": "55:36",
      "audioTime": "10:04",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "So I've zoomed around, taken all the mesentery nicely.",
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    {
      "index": 85,
      "videoTime": "58:56",
      "audioTime": "10:15",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And back at the acem colon, probably getting ready to divide the Ti here.",
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    {
      "index": 86,
      "videoTime": "60:39",
      "audioTime": "10:36",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Still using the hand to get effect.",
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    {
      "index": 87,
      "videoTime": "63:09",
      "audioTime": "11:06",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Taking the mesentery right along the bowel.",
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    {
      "index": 88,
      "videoTime": "64:04",
      "audioTime": "11:17",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "I'm wondering if this is a colitis patient.",
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    {
      "index": 89,
      "videoTime": "64:25",
      "audioTime": "11:21",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Or do they want to not take the iliacolic.",
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    {
      "index": 90,
      "videoTime": "65:25",
      "audioTime": "11:33",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "Just completing the mesenteric division at the Ti.",
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    {
      "index": 91,
      "videoTime": "66:08",
      "audioTime": "11:42",
      "category": "good",
      "trigger_type": "good_trainee_action",
      "text": "Very nice.",
      "surgeon_vote": null,
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    {
      "index": 92,
      "videoTime": "67:18",
      "audioTime": "11:49",
      "category": "critical-light",
      "trigger_type": "error_of_omission",
      "text": "A little more mobilization at the base of the Ti.",
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    {
      "index": 93,
      "videoTime": "68:34",
      "audioTime": "12:04",
      "category": "neutral",
      "trigger_type": "observation",
      "text": "And the procedure is done.",
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