With the use of robotic surgery in heart surgeries in recent years, patients will be able to have a more comfortable surgical process in coronary bypass surgeries generally done as open surgery. The best advantage of performing bypass surgery by using the Da Vinci robot is that the recovery is very fast because it is performed with a very small incision. Professor of Cardiovascular Surgery, İstanbul Faculty of Medicine, Robotic Heart Surgeon İhsan Bakır, explained the importance of robotic surgery in the surgical treatment of vascular occlusion.
In robotic surgery, an endoscopic camera is sent into the rib cage through several small incisions; The surgeon performs the surgery by controlling the robot arms on the console, accompanied by the perfect image on the console screen. You can see even the smallest details because the image is magnified 20 times. Robot arms can move better in comparison to a human hand. It is possible to make a rotation of about 540 degrees with robot arms.
First of all, the patient will be recovering faster both psychologically and physiologically. After an open surgery, where the breastbone is opened, the patient is not only affected visually, but also psychologically since he/she will remember that surgery in his/her next life. Additionally, less blood loss, less pain, shorter intensive care period and hospital stay are the other advantages thanks to the small incision. Patients will be able to get back to their normal life in 5-10 days. In fact, they are able to go home on their own after the surgery.
We don’t allow our patients to drive for at least one month. The reason is that the breastbone, which was opened and closed during the surgery, should not be damaged by any impact. However, if the patient who underwent coronary bypass with robotic surgery feels well, we do not see any problem for the patient to drive after the 10th day and to get back to the physical activities they have been doing before the surgery. You certainly do not have the chance to perform robotic surgery for every patient. For instance, if the patient has a highly common vascular disease in the bypass, it is not that advantageous to perform robotic surgery. The first criterion in patient preference is obtaining the same quality results as open surgery in robotic surgery. The patients whose 4 or 5 vessels need to be intervened simultaneously, are those with a previous lung disease and adhesions in the cavity of the lung, adhesions in the pericardium, and those who are not suitable for robotic surgery.