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Into the future: first robotic totally endoscopic coronary artery bypass in Southeast Asia
Dudy Arman Hanafy1, Sudhir Prem Srivastava2, Widya Trianita Suwatri3
1Cardiothoracic and Vascular Surgery Division, Harapan Kita National Heart Centre - Faculty of Medicine Universitas Indonesia, Jakarta Barat, Indonesia. hanafymedical@gmail.com.
Background:
Coronary artery bypass grafting remains the most commonly performed cardiac surgery worldwide, including in Indonesia. Robotic approach offers a minimally invasive alternative benefiting both patients and surgeons. Nonetheless, its adoption remains limited globally.
Case Presentation:
We report Southeast Asia's first robotic totally endoscopic coronary artery bypass performed at Harapan Kita National Heart Centre, Indonesia in November 2024 using SSI Mantra™ Surgical Robotic System, highlighting key aspects in robotic program initiation including structured team training, patient selection, operative workflow, and management of intraoperative challenges during early adoption.
Conclusion:
This case represents a milestone in the dissemination of robotic coronary revascularization in Southeast Asia. Beyond its regional significance, it provides practical technical insights relevant to centers initiating robotic coronary programs.
