| Totally endoscopic coronary artery bypass surgery | |
|---|---|
| ICD-9-CM | 36.34 |
Totally endoscopic coronary artery bypass surgery (TECAB) is an entirelyendoscopicrobotic surgery used to treatcoronary heart disease, developed in the late 1990s. It is an advanced form ofminimally invasive direct coronary artery bypass surgery, which allows bypass surgery to be conductedoff-pump without opening the ribcage. The technique involves three or four small holes in the chest cavity through which two robotic arms, and one camera are inserted.[1][2]
TECAB surgery uses the da Vinci tele-roboticstereoscopic 3-D imaging system. The system consists of a robotic "slave" system at the bedside. The robot relays its information to an external surgical control unit, where acardiac surgeon has a three-dimensional view of the chest cavity, and twin controllers for the robotic arms. The procedure frequently involvesgrafting of theinternal mammary artery to thediseased coronary artery, and therefore does not require external harvesting of blood vessels.[3]
