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Highlights: 3rd International Neonatal MIS Symposium

  1. Never combine energy and clips on the same vessel

  2. Complication: stomach migration into chest and its management

  3. Single‑lung ventilation tip for thoracoscopic cases

  4. Advantages of laparoscopy over open repair in boys

  5. Parallel lab and OR training to reduce operative time

  6. Key radiological sign: football sign of free air

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

  8. Definition of long‑gap types A and B

  9. Intra‑operative insufflation management to avoid hypercapnia

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

  11. ICG tumor retention in hepatoblastoma vs normal liver tissue

  12. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  14. Exclusion criteria and size limits for fetoscopic repair

  15. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  22. ICG helps identify ureteral leaks during duodenal lariats

  23. Small intentional peritoneal puncture trick for dissection

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

  25. Kimura technique description for duodenal anastomosis

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

  27. Running back‑wall then front‑wall sutures

  28. Ultrasound confirmation of balloon position

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

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

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

  32. Reported recurrence rates: thoracoscopic vs open repair

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

  34. Impact of structured program on esophageal atresia outcomes

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

  36. Gestational age and birth weight guide neonatal MIS selection

  37. Technical description of the balloon used for tracheal occlusion

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

  39. Avoiding peritoneal gaps in girls – technique tip

  40. Infra‑umbilical 5 mm trocar placement for neonates

  41. Patient selection criteria for CDH minimally invasive surgery

  42. Seromuscular suturing technique, skipping the mucosa

  43. Internal traction vs waiting: managing type C cases

  44. Bivalving the cyst to expose ducts before transection

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