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Highlights: 3rd International Neonatal MIS Symposium

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

  2. ICG tumor retention in hepatoblastoma vs normal liver tissue

  3. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  5. Exclusion criteria and size limits for fetoscopic repair

  6. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  13. ICG helps identify ureteral leaks during duodenal lariats

  14. Small intentional peritoneal puncture trick for dissection

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

  16. Kimura technique description for duodenal anastomosis

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

  18. Running back‑wall then front‑wall sutures

  19. Ultrasound confirmation of balloon position

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

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

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

  23. Reported recurrence rates: thoracoscopic vs open repair

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

  25. Impact of structured program on esophageal atresia outcomes

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

  27. Gestational age and birth weight guide neonatal MIS selection

  28. Technical description of the balloon used for tracheal occlusion

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

  30. Avoiding peritoneal gaps in girls – technique tip

  31. Infra‑umbilical 5 mm trocar placement for neonates

  32. Patient selection criteria for CDH minimally invasive surgery

  33. Seromuscular suturing technique, skipping the mucosa

  34. Internal traction vs waiting: managing type C cases

  35. Bivalving the cyst to expose ducts before transection

  36. Never combine energy and clips on the same vessel

  37. Complication: stomach migration into chest and its management

  38. Single‑lung ventilation tip for thoracoscopic cases

  39. Advantages of laparoscopy over open repair in boys

  40. Parallel lab and OR training to reduce operative time

  41. Key radiological sign: football sign of free air

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

  43. Definition of long‑gap types A and B

  44. Intra‑operative insufflation management to avoid hypercapnia

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