INTRODUCTION
Cardio-thoracic and vascular surgery has historically relied on open approaches requiring large incisions and extensive tissue dissection to provide adequate exposure for complex procedures. Although these techniques established the foundation for modern surgical care, they were often associated with significant morbidity, prolonged recovery, and cosmetic limitations.
The past three decades have witnessed a paradigm shift toward minimal access surgery, driven by innovations in optics, instrumentation, and perioperative management. Initially pioneered in general and laparoscopic surgery, the principles of minimal invasiveness have now been successfully adapted to cardiac, thoracic, and vascular disciplines. The collective term Minimal Access Cardio-Thoracic and Vascular Surgery (MACTVS) encompasses these evolving approaches, integrating endoscopic, thoracoscopic, robotic, and endovascular modalities under a unified concept of precision and reduced trauma.
The primary rationale for adopting minimal access techniques lies in reducing the physiological burden of surgery while maintaining or enhancing procedural efficacy. Traditional open surgeries are often associated with higher postoperative pain, blood loss, infection risk, and delayed return to normal activity.
By minimizing incision size and preserving musculoskeletal integrity, MACTVS reduces surgical stress, promotes faster rehabilitation, and enhances patient satisfaction. Furthermore, technological progress—including high-definition cameras, three-dimensional visualization, and advanced robotic systems—has enabled surgeons to achieve unprecedented accuracy and control within limited operative fields.
In the vascular domain, the transition from open to endovascular interventions has drastically lowered perioperative mortality and morbidity, particularly in high-risk patients. Hybrid operating rooms now allow simultaneous open and endovascular procedures, further expanding the therapeutic potential of minimal access strategies.
5
Years of Experience
1000+
Satisfied Patients
Robotic Surgeries
Specialized Surgeons
