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Highlights: 3rd International Neonatal MIS Symposium

  1. Impact of structured program on esophageal atresia outcomes

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

  3. Gestational age and birth weight guide neonatal MIS selection

  4. Technical description of the balloon used for tracheal occlusion

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

  6. Avoiding peritoneal gaps in girls – technique tip

  7. Infra‑umbilical 5 mm trocar placement for neonates

  8. Patient selection criteria for CDH minimally invasive surgery

  9. Seromuscular suturing technique, skipping the mucosa

  10. Internal traction vs waiting: managing type C cases

  11. Bivalving the cyst to expose ducts before transection

  12. Never combine energy and clips on the same vessel

  13. Complication: stomach migration into chest and its management

  14. Single‑lung ventilation tip for thoracoscopic cases

  15. Advantages of laparoscopy over open repair in boys

  16. Parallel lab and OR training to reduce operative time

  17. Key radiological sign: football sign of free air

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

  19. Definition of long‑gap types A and B

  20. Intra‑operative insufflation management to avoid hypercapnia

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

  22. ICG tumor retention in hepatoblastoma vs normal liver tissue

  23. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  25. Exclusion criteria and size limits for fetoscopic repair

  26. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  33. ICG helps identify ureteral leaks during duodenal lariats

  34. Small intentional peritoneal puncture trick for dissection

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

  36. Kimura technique description for duodenal anastomosis

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

  38. Running back‑wall then front‑wall sutures

  39. Ultrasound confirmation of balloon position

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

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

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

  43. Reported recurrence rates: thoracoscopic vs open repair

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

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