[Feasibility and Clinical Benefit of Robot-assisted Minimally Invasive Direct Coronary Artery Bypass Surgery].

In minimally invasive direct coronary artery bypass surgery (MIDCAB), internal mammary artery harvesting is not so easy because of small exposure and difficult maneuver for long distant target vessel. To expose and harvest left internal mammary artery (LIMA) we should lift thoracic wall and thoracic ribs which might cause rib fracture and wound pain. To overcome these disadvantages we started da Vinci robotic endoscopic LIMA harvesting for selected patients with standard sternotomy operation followed by robot-assisted MIDCAB. da Vinci robotic endoscopic LIMA harvesting is feasible and safe with less bleeding and less pain. Further learning experience might improve time and easy of operation even further.