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Highlights: 3rd International Neonatal MIS Symposium

  1. Single‑lung ventilation tip for thoracoscopic cases

  2. Advantages of laparoscopy over open repair in boys

  3. Parallel lab and OR training to reduce operative time

  4. Key radiological sign: football sign of free air

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

  6. Definition of long‑gap types A and B

  7. Intra‑operative insufflation management to avoid hypercapnia

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

  9. ICG tumor retention in hepatoblastoma vs normal liver tissue

  10. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  12. Exclusion criteria and size limits for fetoscopic repair

  13. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  20. ICG helps identify ureteral leaks during duodenal lariats

  21. Small intentional peritoneal puncture trick for dissection

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

  23. Kimura technique description for duodenal anastomosis

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

  25. Running back‑wall then front‑wall sutures

  26. Ultrasound confirmation of balloon position

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

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

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

  30. Reported recurrence rates: thoracoscopic vs open repair

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

  32. Impact of structured program on esophageal atresia outcomes

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

  34. Gestational age and birth weight guide neonatal MIS selection

  35. Technical description of the balloon used for tracheal occlusion

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

  37. Avoiding peritoneal gaps in girls – technique tip

  38. Infra‑umbilical 5 mm trocar placement for neonates

  39. Patient selection criteria for CDH minimally invasive surgery

  40. Seromuscular suturing technique, skipping the mucosa

  41. Internal traction vs waiting: managing type C cases

  42. Bivalving the cyst to expose ducts before transection

  43. Never combine energy and clips on the same vessel

  44. Complication: stomach migration into chest and its management

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