doiSerbia

Minimal invasive coronary bypass surgery the robotic total endoscopic approach

Terzić Duško (Clinical Center of Serbia, Clinic for Cardiac Surgery, Belgrade)
Göbölös László (Heart and Vascular Institute, Cleveland Clinic Abu Dhabi,Abu Dhabi, United Arab Emirates)
Ramahi Jehad (Heart and Vascular Institute, Cleveland Clinic Abu Dhabi,Abu Dhabi, United Arab Emirates)
Bonatti Johannes (Heart and Vascular Institute, Cleveland Clinic Abu Dhabi,Abu Dhabi, United Arab Emirates)

The aim of this paper is to present the latest recommendations for practitioners for preoperative preparation, surgical procedures and postoperative treatment in patients with myocardial revascularization using robotic total endoscopic coronary artery bypass grafting (CARG), which is applied as daily clinical routine practice at the Heart and Vascular Institute, Cleveland Clinic Abu Dhabi. Many patients indicated for coronary bypass surgery may be candidates for robotic total endoscopic CARG. The paper illustrates eligibility criteria of this procedure, preoperative assessment and preparation principles, peripheral access for cardiopulmonary bypass and port insertion, then graft harvesting procedure, initiation of cardiopulmonary bypass and application of endoaortic clamping, identification and exposure of the target vessels, anastomosis procedure and postoperative care in this group of patients.

Keywords: robotic, endoscopic, coronary artery bypass, TECAB