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Highlights: 3rd International Neonatal MIS Symposium

  1. Intra‑operative insufflation management to avoid hypercapnia

  2. Long-gap esophageal atresia: not an emergency, refer to an experienced center

  3. ICG tumor retention in hepatoblastoma vs normal liver tissue

  4. Debate: hepaticojejunostomy vs hepaticoduodenostomy

  5. Using 3 mm reusable trocars with a 3‑mm cap to avoid clash

  6. Exclusion criteria and size limits for fetoscopic repair

  7. Ergonomics and instrument handling in reduced fields

  8. Onco‑targeted ICG (folate receptor) for sarcoma imaging

  9. Surgeon ergonomics: neutral wrists, elbows at 90°, table height

  10. ICG intraluminal injection to evaluate ureteral implantation and avoid injury

  11. ICG depth limitation: only visible up to ~2 cm in tissue

  12. PIRS set-up: blunt aspiration needle vs Abocath 16G

  13. ICG for vascular assessment of appendix before and after Mitrofanoff procedure

  14. ICG helps identify ureteral leaks during duodenal lariats

  15. Small intentional peritoneal puncture trick for dissection

  16. Survival benefit: 55% vs 8% without FETO

  17. Kimura technique description for duodenal anastomosis

  18. ECMO reduction after FETO (90‑95% to 30%)

  19. Running back‑wall then front‑wall sutures

  20. Ultrasound confirmation of balloon position

  21. Importance of 3 mm instruments and trocars for neonatal MIS

  22. Key safety principle: anticipate failure and plan for it

  23. Use of ICG to assess bowel perfusion in NEC before and after anastomosis

  24. Reported recurrence rates: thoracoscopic vs open repair

  25. Vessel sealing strategy – partial cut, confirm seal before division

  26. Impact of structured program on esophageal atresia outcomes

  27. Hitch sutures on the falciform ligament and gallbladder for exposure

  28. Gestational age and birth weight guide neonatal MIS selection

  29. Technical description of the balloon used for tracheal occlusion

  30. High-performance mentored training: the way to advanced MIS skills

  31. Avoiding peritoneal gaps in girls – technique tip

  32. Infra‑umbilical 5 mm trocar placement for neonates

  33. Patient selection criteria for CDH minimally invasive surgery

  34. Seromuscular suturing technique, skipping the mucosa

  35. Internal traction vs waiting: managing type C cases

  36. Bivalving the cyst to expose ducts before transection

  37. Never combine energy and clips on the same vessel

  38. Complication: stomach migration into chest and its management

  39. Single‑lung ventilation tip for thoracoscopic cases

  40. Advantages of laparoscopy over open repair in boys

  41. Parallel lab and OR training to reduce operative time

  42. Key radiological sign: football sign of free air

  43. Pre‑operative stabilization thresholds (PCO2 & SpO2)

  44. Definition of long‑gap types A and B

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