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Highlights: 3rd International Neonatal MIS Symposium

  1. ICG tumor retention in hepatoblastoma vs normal liver tissue

  2. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  4. Exclusion criteria and size limits for fetoscopic repair

  5. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  12. ICG helps identify ureteral leaks during duodenal lariats

  13. Small intentional peritoneal puncture trick for dissection

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

  15. Kimura technique description for duodenal anastomosis

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

  17. Running back‑wall then front‑wall sutures

  18. Ultrasound confirmation of balloon position

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

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

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

  22. Reported recurrence rates: thoracoscopic vs open repair

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

  24. Impact of structured program on esophageal atresia outcomes

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

  26. Gestational age and birth weight guide neonatal MIS selection

  27. Technical description of the balloon used for tracheal occlusion

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

  29. Avoiding peritoneal gaps in girls – technique tip

  30. Infra‑umbilical 5 mm trocar placement for neonates

  31. Patient selection criteria for CDH minimally invasive surgery

  32. Seromuscular suturing technique, skipping the mucosa

  33. Internal traction vs waiting: managing type C cases

  34. Bivalving the cyst to expose ducts before transection

  35. Never combine energy and clips on the same vessel

  36. Complication: stomach migration into chest and its management

  37. Single‑lung ventilation tip for thoracoscopic cases

  38. Advantages of laparoscopy over open repair in boys

  39. Parallel lab and OR training to reduce operative time

  40. Key radiological sign: football sign of free air

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

  42. Definition of long‑gap types A and B

  43. Intra‑operative insufflation management to avoid hypercapnia

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

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