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Highlights: 3rd International Neonatal MIS Symposium

  1. Advantages of laparoscopy over open repair in boys

  2. Parallel lab and OR training to reduce operative time

  3. Key radiological sign: football sign of free air

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

  5. Definition of long‑gap types A and B

  6. Intra‑operative insufflation management to avoid hypercapnia

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

  8. ICG tumor retention in hepatoblastoma vs normal liver tissue

  9. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  11. Exclusion criteria and size limits for fetoscopic repair

  12. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  19. ICG helps identify ureteral leaks during duodenal lariats

  20. Small intentional peritoneal puncture trick for dissection

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

  22. Kimura technique description for duodenal anastomosis

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

  24. Running back‑wall then front‑wall sutures

  25. Ultrasound confirmation of balloon position

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

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

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

  29. Reported recurrence rates: thoracoscopic vs open repair

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

  31. Impact of structured program on esophageal atresia outcomes

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

  33. Gestational age and birth weight guide neonatal MIS selection

  34. Technical description of the balloon used for tracheal occlusion

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

  36. Avoiding peritoneal gaps in girls – technique tip

  37. Infra‑umbilical 5 mm trocar placement for neonates

  38. Patient selection criteria for CDH minimally invasive surgery

  39. Seromuscular suturing technique, skipping the mucosa

  40. Internal traction vs waiting: managing type C cases

  41. Bivalving the cyst to expose ducts before transection

  42. Never combine energy and clips on the same vessel

  43. Complication: stomach migration into chest and its management

  44. Single‑lung ventilation tip for thoracoscopic cases

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