Robotically enhanced totally endoscopic coronary artery bypass surgery in three cases

Ertan Sağbaş, İlhan Sanisoğlu, Mustafa Güden, Barış Çaynak, Belhhan Akpınar

Florence Nightingale Hastanesi, Kalp ve Damar Cerrahisi Bölümü, İstanbul

Robotically enhanced cardiac surgery is a relatively new approach, with a steep learning curve. Sixty-two cardiac operations have been performed in our institution using the da Vinci robotic system since April 2004. Of these, three were totally endoscopic coronary artery bypass grafting, representing the first operations performed in this field in Turkey. Surgery was accomplished only through ports, without any surgical incisions. The patients had significant stenosis or occlusion of the left anterior descending (LAD) coronary artery. At surgery, the left internal thoracic coronary artery was anastomosed to the LAD artery. The mean durations of anastomosis, cardiopulmonary bypass, and operation were 39, 71, and 281 minutes, respectively. One patient required revision due to hemorrhage at the postoperative fourth hour. No complications occurred in the remaining patients.

Keywords : Cardiopulmonary bypass; coronary artery bypass/methods; endoscopy; robotics; surgical procedures, minimally invasive

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