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

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. 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. 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.