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da Vinci® Robotic Assisted Minimally Invasive Direct CAB (MIDCAB) Surgery
A Minimally Invasive Beating Heart / Off-Pump CABG SurgeryInnovative advancements in cardiac revascularization and coronary artery bypass grafting (CABG) surgical techniques have allowed this surgery to be performed without having the heart stopped and connected to a heart-lung machine—cardiopulmonary bypass (CPB), and without separating the breastbone (sternum) and ribcage. Robotic assisted surgery with the da Vinci® Si Surgical System (da Vinci) reduces the risks associated with the use of the heart-lung machine—cardiopulmonary bypass (CPB), and allows for a faster recovery.
How da Vinci® Robotic Assisted Minimally Invasive Direct CAB Surgery Is PerformedRobotic assisted MIDCAB surgery is typically performed when the arteries (left anterior descending (LAD)) at the front of the heart are blocked. During the operation, the surgeon sits at a console in the surgical suite and monitors the video screens to direct the robotic arms to perform the surgery. Small keyhole incisions (one to two centimeters) are made on the chest, between the ribs. One of the incisions is used to pass a tiny camera, called an endoscope, to allow the atria to be viewed. The other two incisions are used to insert robotic surgical tools. While the heart is still beating, the surgeon delicately grafts the bypass. The new vessel bypasses around the clogged coronary arteries. Blood can then flow freely to the heart. During the procedure, the surgeon may use a stabilization device to still the small area of the beating heart where the bypass is being grafted.
The stabilization device utilizes small suction pods that gently attach to the surface of the heart. The pods work by lifting, not pushing down on the tissue, to stabilize the area where the surgeon will graft the bypass. The device is flexible so that it can be positioned on the heart vessels, yet sturdy so it can steady a portion of the beating heart while minimally affecting heart function.
Benefits of da Vinci® Robotic Assisted Minimally Invasive Direct CAB SurgeryRobotic assisted MIDCAB surgery offers the same same benefits as open-heart coronary artery bypass grafting (CABG) surgery with shorter hospitalization, less bleeding, and a faster recovery.
Robotic assisted MIDCAB surgery is only ideal for patients at low risk of complications, and those who have blocked arteries towards the front of the heart which can be reached through a small opening near the ribs. Each patient's diagnosis and treatment is unique and your physician will recommend the best approach for you.
Cardiac RehabilitationFollowing the surgery, cardiac rehabilitation is provided in stages to help reduce risk for future heart problems and to make the recovery process quick.
Heart and Vascular Conditions Treated with da Vinci® Robotic Assisted Minimally Invasive Direct CAB Surgery