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Highlights: 3rd International Neonatal MIS Symposium

  1. Reported recurrence rates: thoracoscopic vs open repair

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

  3. Impact of structured program on esophageal atresia outcomes

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

  5. Gestational age and birth weight guide neonatal MIS selection

  6. Technical description of the balloon used for tracheal occlusion

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

  8. Avoiding peritoneal gaps in girls – technique tip

  9. Infra‑umbilical 5 mm trocar placement for neonates

  10. Patient selection criteria for CDH minimally invasive surgery

  11. Seromuscular suturing technique, skipping the mucosa

  12. Internal traction vs waiting: managing type C cases

  13. Bivalving the cyst to expose ducts before transection

  14. Never combine energy and clips on the same vessel

  15. Complication: stomach migration into chest and its management

  16. Single‑lung ventilation tip for thoracoscopic cases

  17. Advantages of laparoscopy over open repair in boys

  18. Parallel lab and OR training to reduce operative time

  19. Key radiological sign: football sign of free air

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

  21. Definition of long‑gap types A and B

  22. Intra‑operative insufflation management to avoid hypercapnia

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

  24. ICG tumor retention in hepatoblastoma vs normal liver tissue

  25. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  27. Exclusion criteria and size limits for fetoscopic repair

  28. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  35. ICG helps identify ureteral leaks during duodenal lariats

  36. Small intentional peritoneal puncture trick for dissection

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

  38. Kimura technique description for duodenal anastomosis

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

  40. Running back‑wall then front‑wall sutures

  41. Ultrasound confirmation of balloon position

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

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

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

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