Key result
Robotically assisted totally endoscopic coronary artery bypass surgery has emerged as a feasible and efficient alternative to conventional full sternotomy in selected patients.
Robotically assisted totally endoscopic coronary artery bypass surgery provides a feasible, minimally invasive revascularization strategy with excellent graft patency and accelerated patient recovery compared to traditional sternotomy.
May support minimally invasive CABG in selected patients; leaves open superiority versus sternotomy without randomized trials.
Robotically assisted totally endoscopic coronary artery bypass surgery has emerged as a feasible and efficient alternative to conventional full sternotomy coronary artery bypass graft surgery in selected patients. This minimally invasive approach using the daVinci robotic system allows fine intrathoracic maneuvers and excellent view of the coronary arteries. Both on-pump and off-pump operations can be performed to treat single and multivessel disease. Hybrid approaches have the potential of offering complete revascularization with the "best of both worlds" from surgery (internal mammary artery anastomosis in less invasive fashion) and percutaneous coronary intervention (least invasive approach). In this article we review the indications, techniques, short and long term results, as well as current developments in totally endoscopic robotic coronary artery bypass operations.
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Canale et al. (2013) conducted a review in Coronary artery disease. Robotically assisted totally endoscopic coronary artery bypass surgery (TECAB) was evaluated. Robotically assisted totally endoscopic coronary artery bypass surgery has emerged as a feasible and efficient alternative to conventional full sternotomy in selected patients.
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