Into the future: first robotic totally endoscopic coronary artery bypass in Southeast Asia.

BACKGROUND

Coronary artery bypass grafting remains the most commonly performed cardiac surgery worldwide, including in Indonesia. Robotic approach offers a minimally invasive alternative benefiting both patients and surgeons. Nonetheless, its adoption remains limited globally.

CASE PRESENTATION: We report Southeast Asia's first robotic totally endoscopic coronary artery bypass performed at Harapan Kita National Heart Centre, Indonesia in November 2024 using SSI Mantra™ Surgical Robotic System, highlighting key aspects in robotic program initiation including structured team training, patient selection, operative workflow, and management of intraoperative challenges during early adoption.

CONCLUSION

This case represents a milestone in the dissemination of robotic coronary revascularization in Southeast Asia. Beyond its regional significance, it provides practical technical insights relevant to centers initiating robotic coronary programs.