Highlights: 3rd International Neonatal MIS Symposium
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Debate: hepaticojejunostomy vs hepaticoduodenostomy
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Why the clip goes first
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Using 3 mm reusable trocars with a 3‑mm cap to avoid clash
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Exclusion criteria and size limits for fetoscopic repair
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No torque on the shaft
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Ergonomics and instrument handling in reduced fields
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Onco‑targeted ICG (folate receptor) for sarcoma imaging
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Surgeon ergonomics: neutral wrists, elbows at 90°, table height
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Camera is not a punishment
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ICG intraluminal injection to evaluate ureteral implantation and avoid injury
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Right arch or left arch?
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ICG depth limitation: only visible up to ~2 cm in tissue
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Double layer, hands on
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PIRS set-up: blunt aspiration needle vs Abocath 16G
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ICG for vascular assessment of appendix before and after Mitrofanoff procedure
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When to operate in the NICU
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ICG helps identify ureteral leaks during duodenal lariats
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Small intentional peritoneal puncture trick for dissection
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Put the clip inside the loop
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Survival benefit: 55% vs 8% without FETO
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Kimura technique description for duodenal anastomosis
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ECMO reduction after FETO (90‑95% to 30%)
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Running back‑wall then front‑wall sutures
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Ultrasound confirmation of balloon position
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Importance of 3 mm instruments and trocars for neonatal MIS
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Key safety principle: anticipate failure and plan for it
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Use of ICG to assess bowel perfusion in NEC before and after anastomosis
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Reported recurrence rates: thoracoscopic vs open repair
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Suturing is like riding a bike
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Vessel sealing strategy – partial cut, confirm seal before division
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Impact of structured program on esophageal atresia outcomes
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Hitch sutures on the falciform ligament and gallbladder for exposure
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Where the sliding knot came from
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Gestational age and birth weight guide neonatal MIS selection
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Technical description of the balloon used for tracheal occlusion
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High-performance mentored training: the way to advanced MIS skills
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Avoiding peritoneal gaps in girls – technique tip
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Infra‑umbilical 5 mm trocar placement for neonates
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Patient selection criteria for CDH minimally invasive surgery
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Seromuscular suturing technique, skipping the mucosa
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Internal traction vs waiting: managing type C cases
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Bivalving the cyst to expose ducts before transection
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Never combine energy and clips on the same vessel
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Complication: stomach migration into chest and its management
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Single‑lung ventilation tip for thoracoscopic cases
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Make the knot slide either way
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Advantages of laparoscopy over open repair in boys
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Parallel lab and OR training to reduce operative time
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Key radiological sign: football sign of free air
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Pre‑operative stabilization thresholds (PCO2 & SpO2)
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Definition of long‑gap types A and B
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Intra‑operative insufflation management to avoid hypercapnia
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Long-gap esophageal atresia: not an emergency, refer to an experienced center
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ICG tumor retention in hepatoblastoma vs normal liver tissue