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Updated: Jul 18, 2026
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Totally endoscopic coronary artery bypass surgery
Yugal K Mishra1, Harpreet Wasir, Krishan K Sharma
1Department of Cardiovascular Surgery, Escorts Heart Institute and Research Center, New Delhi, India. dryugal@yahoo.com
Asian Cardiovascular & Thoracic Annals
|November 30, 2006
Summary
Robotically assisted totally endoscopic coronary artery bypass surgery is feasible and safe for single-vessel disease. This minimally invasive approach demonstrated excellent graft patency and short hospital stays without mortality.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotically enhanced surgery is advancing cardiac procedures.
- Totally endoscopic coronary artery bypass (TECAB) offers minimally invasive options for both beating and arrested hearts.
Purpose of the Study:
- To evaluate the feasibility and outcomes of totally endoscopic coronary artery bypass using the da Vinci surgical system.
- To assess graft patency and patient recovery in robotic TECAB procedures.
Main Methods:
- Retrospective analysis of 13 patients undergoing TECAB between December 2002 and May 2005.
- Procedures utilized the da Vinci surgical system for internal mammary artery (IMA) harvesting and anastomosis.
- Coronary angiography was performed at 3-month intervals post-surgery.
Main Results:
- 11 beating-heart and 2 arrested-heart TECAB procedures were completed successfully.
- Mean IMA mobilization time was 42 minutes; anastomosis time ranged from 20-36 minutes.
- No patient required conversion to median sternotomy, with zero hospital mortality.
- Mean ICU and hospital stays were 1.2 and 4.5 days, respectively.
- 100% graft patency was observed in 12 out of 13 patients at 3 months; one patient required angioplasty for anastomotic narrowing.
Conclusions:
- Robotic technology enables completely endoscopic anastomosis for single-vessel coronary artery bypass.
- TECAB with the da Vinci system is a safe and effective minimally invasive surgical option.
- The technique can be extended for complete myocardial revascularization using bilateral internal mammary arteries.
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