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Totally Robotic Technique in Multivessel Coronary Disease — Is it Possible?

Department of Cardiovascular and Thoracic Surgery Heart Center Coswig Coswig, Sachsen-Anhalt, Germany
Andi W Susilo, MD Tel: 32 53 70 6817 Fax: 32 53 70 6817 email: Dr.Susilo{at}web.de Lindenstraat 108, Aalst B-9300, Belgium.

Robotic techniques in coronary surgery have been established for a few years. The preparation of the internal mammary arteries is now a well-described procedure, as is anastomosis to the anterior wall vessels under cardiopulmonary bypass. To achieve totally robotic complete revascularization of the heart, there are still some problems to be solved. Potential solutions are discussed. Current techniques using telemanipulation systems in cardiac surgery are described and explained. Totally endoscopic off-pump complete revascularization of the heart might be achieved by a combination of techniques already developed by different teams around the world.

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