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Highlights: 3rd International Neonatal MIS Symposium

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

  2. Exclusion criteria and size limits for fetoscopic repair

  3. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  10. ICG helps identify ureteral leaks during duodenal lariats

  11. Small intentional peritoneal puncture trick for dissection

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

  13. Kimura technique description for duodenal anastomosis

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

  15. Running back‑wall then front‑wall sutures

  16. Ultrasound confirmation of balloon position

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

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

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

  20. Reported recurrence rates: thoracoscopic vs open repair

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

  22. Impact of structured program on esophageal atresia outcomes

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

  24. Gestational age and birth weight guide neonatal MIS selection

  25. Technical description of the balloon used for tracheal occlusion

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

  27. Avoiding peritoneal gaps in girls – technique tip

  28. Infra‑umbilical 5 mm trocar placement for neonates

  29. Patient selection criteria for CDH minimally invasive surgery

  30. Seromuscular suturing technique, skipping the mucosa

  31. Internal traction vs waiting: managing type C cases

  32. Bivalving the cyst to expose ducts before transection

  33. Never combine energy and clips on the same vessel

  34. Complication: stomach migration into chest and its management

  35. Single‑lung ventilation tip for thoracoscopic cases

  36. Advantages of laparoscopy over open repair in boys

  37. Parallel lab and OR training to reduce operative time

  38. Key radiological sign: football sign of free air

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

  40. Definition of long‑gap types A and B

  41. Intra‑operative insufflation management to avoid hypercapnia

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

  43. ICG tumor retention in hepatoblastoma vs normal liver tissue

  44. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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