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Highlights: 3rd International Neonatal MIS Symposium

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

  2. Gestational age and birth weight guide neonatal MIS selection

  3. Technical description of the balloon used for tracheal occlusion

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

  5. Avoiding peritoneal gaps in girls – technique tip

  6. Infra‑umbilical 5 mm trocar placement for neonates

  7. Patient selection criteria for CDH minimally invasive surgery

  8. Seromuscular suturing technique, skipping the mucosa

  9. Internal traction vs waiting: managing type C cases

  10. Bivalving the cyst to expose ducts before transection

  11. Never combine energy and clips on the same vessel

  12. Complication: stomach migration into chest and its management

  13. Single‑lung ventilation tip for thoracoscopic cases

  14. Advantages of laparoscopy over open repair in boys

  15. Parallel lab and OR training to reduce operative time

  16. Key radiological sign: football sign of free air

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

  18. Definition of long‑gap types A and B

  19. Intra‑operative insufflation management to avoid hypercapnia

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

  21. ICG tumor retention in hepatoblastoma vs normal liver tissue

  22. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  24. Exclusion criteria and size limits for fetoscopic repair

  25. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  32. ICG helps identify ureteral leaks during duodenal lariats

  33. Small intentional peritoneal puncture trick for dissection

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

  35. Kimura technique description for duodenal anastomosis

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

  37. Running back‑wall then front‑wall sutures

  38. Ultrasound confirmation of balloon position

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

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

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

  42. Reported recurrence rates: thoracoscopic vs open repair

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

  44. Impact of structured program on esophageal atresia outcomes

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