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Highlights: 3rd International Neonatal MIS Symposium

  1. Complication: stomach migration into chest and its management

  2. Single‑lung ventilation tip for thoracoscopic cases

  3. Advantages of laparoscopy over open repair in boys

  4. Parallel lab and OR training to reduce operative time

  5. Key radiological sign: football sign of free air

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

  7. Definition of long‑gap types A and B

  8. Intra‑operative insufflation management to avoid hypercapnia

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

  10. ICG tumor retention in hepatoblastoma vs normal liver tissue

  11. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  13. Exclusion criteria and size limits for fetoscopic repair

  14. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  21. ICG helps identify ureteral leaks during duodenal lariats

  22. Small intentional peritoneal puncture trick for dissection

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

  24. Kimura technique description for duodenal anastomosis

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

  26. Running back‑wall then front‑wall sutures

  27. Ultrasound confirmation of balloon position

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

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

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

  31. Reported recurrence rates: thoracoscopic vs open repair

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

  33. Impact of structured program on esophageal atresia outcomes

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

  35. Gestational age and birth weight guide neonatal MIS selection

  36. Technical description of the balloon used for tracheal occlusion

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

  38. Avoiding peritoneal gaps in girls – technique tip

  39. Infra‑umbilical 5 mm trocar placement for neonates

  40. Patient selection criteria for CDH minimally invasive surgery

  41. Seromuscular suturing technique, skipping the mucosa

  42. Internal traction vs waiting: managing type C cases

  43. Bivalving the cyst to expose ducts before transection

  44. Never combine energy and clips on the same vessel

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