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Highlights: 3rd International Neonatal MIS Symposium

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

  2. Kimura technique description for duodenal anastomosis

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

  4. Running back‑wall then front‑wall sutures

  5. Ultrasound confirmation of balloon position

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

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

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

  9. Reported recurrence rates: thoracoscopic vs open repair

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

  11. Impact of structured program on esophageal atresia outcomes

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

  13. Gestational age and birth weight guide neonatal MIS selection

  14. Technical description of the balloon used for tracheal occlusion

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

  16. Avoiding peritoneal gaps in girls – technique tip

  17. Infra‑umbilical 5 mm trocar placement for neonates

  18. Patient selection criteria for CDH minimally invasive surgery

  19. Seromuscular suturing technique, skipping the mucosa

  20. Internal traction vs waiting: managing type C cases

  21. Bivalving the cyst to expose ducts before transection

  22. Never combine energy and clips on the same vessel

  23. Complication: stomach migration into chest and its management

  24. Single‑lung ventilation tip for thoracoscopic cases

  25. Advantages of laparoscopy over open repair in boys

  26. Parallel lab and OR training to reduce operative time

  27. Key radiological sign: football sign of free air

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

  29. Definition of long‑gap types A and B

  30. Intra‑operative insufflation management to avoid hypercapnia

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

  32. ICG tumor retention in hepatoblastoma vs normal liver tissue

  33. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  35. Exclusion criteria and size limits for fetoscopic repair

  36. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  43. ICG helps identify ureteral leaks during duodenal lariats

  44. Small intentional peritoneal puncture trick for dissection

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