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A suggested broad pathway for gradual adoption of robotic totally endoscopic coronary artery bypass (TECAB) for experienced surgeons. The need for a dedicated surgical team and continuous quality control of outcomes are imperative for success. CABG, Coronary artery bypass grafting; CPB, cardiopulmonary bypass; ITA, internal thoracic artery; MIDCAPB, minimally invasive direct coronary artery bypass.
