🦾 Robotic Minimally Invasive Coronary Revascularization in Turkiye: Midterm Outcomes

Source: The International Journal of Medical Robotics and Computer Assisted SurgeryThis research article evaluates the midterm outcomes of robotic-assisted minimally invasive coronary artery bypass grafting (RA-CABG), a modern surgical technique aimed at treating coronary artery disease without the need for full open-heart surgery. Conducted in Istanbul, Turkey, the study followed 150 consecutive patients who underwent RA-CABG between April 2010 and April 2024. All procedures were performed by a single, experienced surgical team using the Da Vinci Robotic System, guided by preoperative computed tomography angiography (CTA).The main goal was to assess:Survival rates over a midterm periodThe incidence of major adverse cardiovascular events (MACE), which include:Coronary reinterventionStroke or cerebrovascular eventsDeath from cardiovascular causesMean age: 61.7 years (± 9.6)Patients were carefully selected and monitored postoperatively for up to 5 years, with a median follow-up of 19.8 months.1-year survival rate: 99.1%5-year survival rate: 97.5%1-year freedom from MACE: 97.3%5-year freedom from MACE: 95%A total of 13 patients (8.7%) experienced MACE during the follow-up periodThe study concludes that robotic-assisted minimally invasive coronary revascularization is not only feasible and safe, but also offers excellent clinical outcomes in the midterm. Compared to traditional open-heart surgery and other non-robotic minimally invasive techniques, RA-CABG demonstrates comparable or superior survival and complication rates. The authors emphasize the importance of a dedicated and well-coordinated surgical team to achieve consistent success with this advanced technique.🧠 Objectives of the Study:👤 Patient Profile:📊 Key Results:🏁 Conclusion: