Into the future: first robotic totally endoscopic coronary artery bypass in Southeast Asia

Area of Science:

• Minimally invasive cardiac surgery
• Robotic surgery
• Cardiovascular procedures

Background:

• Coronary artery bypass grafting (CABG) is a prevalent cardiac surgery globally.
• Robotic surgery presents a minimally invasive option for CABG, offering patient and surgeon benefits.
• Limited global adoption of robotic CABG persists.

Purpose of the Study:

• To document Southeast Asia's first robotic totally endoscopic coronary artery bypass (TECAB).
• To highlight critical elements for initiating a robotic surgery program.
• To share insights on managing early adoption challenges in robotic cardiac surgery.

Main Methods:

• The first robotic TECAB in Southeast Asia was performed using the SSI Mantra™ Surgical Robotic System.
• Key aspects covered include team training, patient selection, and operative workflow.
• Intraoperative challenges during early adoption were managed and documented.

Main Results:

• Successful execution of Southeast Asia's first robotic TECAB.
• Demonstrated feasibility of robotic program initiation with structured training and patient selection.
• Provided practical insights into managing intraoperative challenges in early-stage robotic adoption.

Conclusions:

• This procedure marks a significant advancement in robotic coronary revascularization in Southeast Asia.
• Offers valuable technical insights for institutions establishing robotic coronary programs.
• Contributes to the broader dissemination of advanced minimally invasive cardiac surgical techniques.