Back to home Robotic-Assisted Cardiac Surgery

Heart surgery, through incisions the size of a keyhole.

Dr. Rafik Abu Samra introduced robotic-assisted cardiac surgery to the United Arab Emirates. Since 2003 he has performed over 1,700 robotic procedures using the Da Vinci, AESOP, and ZEUS systems — without breaking a single breastbone.

Career Volume
1,700+

Robotic cardiac procedures performed since 2003 — on three different surgical robots.

Da Vinci

Current

AESOP

Endoscopic

ZEUS

Trained 2003

How It Works

The surgeon doesn't stand over the patient.

He sits at a console a few metres away. From it, he controls four robotic arms holding instruments thinner than a finger. A 3D camera magnifies the heart tenfold. Every movement his hands make is mirrored in miniature inside the chest — with tremor filtered out automatically.

The result is the same surgery — coronary bypass, valve repair, valve replacement — performed through ports a few millimetres wide instead of an open chest.

01 · Surgeon Console

Where the surgeon sits.

Dr. Rafik views a magnified 3D image of the heart and operates two master controls that translate his hand and finger movements into precise instrument motion.

02 · Patient Cart

Four arms, one camera.

Three arms hold the surgical instruments; the fourth holds the high-definition 3D endoscope. Each instrument enters through a port between the ribs no larger than 8mm.

03 · Vision Tower

Tenfold magnification.

The vision tower processes the endoscope feed into a true-3D, ten-times magnified view of the heart — visible only to the surgeon at the console.

Why It Matters For Patients

Why patients ask for it by name.

Smaller scars

Three or four 8mm port-sized incisions instead of one twelve-inch midline scar across your chest.

Less pain

The breastbone stays intact, so post-operative pain is materially lower than after open surgery.

Faster recovery

Most patients are home within a week and back to normal activity in three to four.

Equivalent outcomes

Robotic procedures meet or exceed open-surgery outcomes at high-volume centres in suitable patients.

The Surgical Robot
da Vinci
The world's most widely deployed surgical robotic platform.
3
Components
4
Robot arms
10×
Magnification
The System He Uses

The Da Vinci platform — and the robots that came before it.

The Da Vinci surgical system is the most widely deployed robotic surgery platform in the world. It has three components: a surgeon console, a patient cart with four robotic arms, and a vision tower that produces a high-definition 3D image of the surgical field.

Dr. Rafik also has experience on the AESOP and ZEUS systems — the platforms on which he originally trained at the Medical University of Leipzig in 2003. Three generations of surgical robots, one surgeon, two decades of cases.

Dr. Rafik Abu Samra

Dubai, UAE

Consultant Cardiac Surgeon

Who Performs It

The surgeon who brought robotic cardiac surgery to the UAE.

01

Trained in Leipzig, 2003.

Performed his first 13 robotic coronary bypass procedures on the ZEUS robot during specialist training at the Medical University of Leipzig — one of the world's leading robotic cardiac surgery centres.

02

Built the UAE's first robotic cardiac unit.

As Senior Consultant and Head of Cardiac Surgery at Al Qassimi Hospital, Sharjah, he established the country's first Da Vinci-based cardiac surgery unit and trained the team that runs it today.

03

1,700+ robotic procedures since.

Across three robotic platforms (Da Vinci, AESOP, ZEUS), spanning coronary bypass, mitral valve surgery, and minimally invasive endoscopic procedures — one of the highest volumes in the region.

What He Does Robotically

Five procedures, three robotic systems, hundreds of cases.

Open Vs Robotic

Side by side.

For a suitable patient, both approaches deliver the same surgical result. The differences are in scar, pain, hospital stay, and how quickly you get back to your life.

 
Open surgery
Robotic-assisted
Incisions
One 25–30 cm midline
Three to four 8mm ports
Breastbone
Cut and wired together
Untouched
Hospital stay
7–10 days
3–5 days
Return to driving
4–6 weeks
1–2 weeks
Return to normal activity
8–12 weeks
3–4 weeks
Visible scarring
One long midline scar
Small port scars
Surgical outcome
Standard of care
Equivalent in suitable patients

Indicative timelines for uncomplicated cases. Your individual recovery may vary based on age, comorbidities, and the specific procedure performed.

Candidacy

Candidacy is decided in consultation.

Many patients with single- or multi-vessel coronary disease, mitral valve disease, or certain congenital conditions are candidates for a robotic approach.

Some patients are not. Extensive prior chest surgery, severe pulmonary disease, or specific anatomical considerations may favour open surgery. Dr. Rafik will review your imaging and history before recommending an approach — never the other way around.

Send your imaging for review
What To Expect

Five steps to your surgery.

01
Initial consultation

A long first appointment, on purpose.

A full review of your case — history, examination, prior imaging, current medications. You leave with a clear picture of your options, robotic and otherwise. No commitment.

02
Imaging & workup

The data we need before we plan.

Coronary angiogram, transthoracic and (where indicated) transoesophageal echocardiogram, ECG-gated CT, lung function tests. Existing imaging is reviewed first; we only repeat what's necessary.

03
Surgical planning

Your operation, planned in detail.

Dr. Rafik plans the procedure with the cardiac team — anaesthetist, perfusionist, scrub team, ICU lead. You meet the team that will be in the operating theatre with you.

04
Surgery day

In, operate, ICU overnight.

Admission the morning of surgery. Three to five hours under anaesthesia depending on the procedure. One night in the cardiac ICU; ward step-down the following day.

05
Recovery & follow-up

Discharged in 3–5 days. Followed for life.

Discharge typically on day three to five. Follow-up at two weeks, six weeks, three months. International patients are seen by video for the longer-term follow-ups, with full reports to your home cardiologist.

Frequently Asked

What patients usually want to know.

Is robotic surgery safer than open?
Outcomes at high-volume centres are equivalent. The advantage of robotic surgery is in recovery, scar, and quality-of-life metrics — not in mortality. For the right patient, both approaches are safe; the choice is about which is the best fit for your anatomy and your priorities.
Will I have a scar?
Yes — three or four small scars from the port sites, typically less than 1 cm each. They sit between the ribs and fade considerably within twelve months. Compared to a 25–30 cm midline sternotomy scar, they are nearly invisible at typical conversational distance.
Does insurance cover it?
Most major UAE insurers cover robotic cardiac surgery when it is the appropriate clinical option. Coverage varies by plan, by procedure, and by hospital. We verify your specific coverage before any surgical commitment — no surprises.
Am I a candidate if I've had previous heart surgery?
Sometimes. Re-operations through ports are technically demanding because of adhesions from the prior surgery, but they are possible in selected patients. Dr. Rafik has extensive experience with redo cardiac surgery, including the case of a UK-born Tetralogy of Fallot patient whose third chest opening took three hours alone.
How soon can I fly home after surgery?
For uncomplicated robotic cardiac surgery, typically 7–10 days post-operation, with medical clearance. We coordinate the timing with your home cardiologist and provide a complete discharge summary in English for the team that takes over your care.
Is it more expensive than open surgery?
The procedure cost itself is comparable. The total cost-of-care is often lower with robotic surgery because the hospital stay is shorter, the recovery is faster, and the time off work is materially reduced. We provide a written quote after reviewing your records.
Who is on Dr. Rafik's surgical team?
A consultant cardiac anaesthetist, a senior perfusionist running the heart-lung machine, two scrub nurses, an assistant surgeon, and an ICU lead who takes over post-operatively. The same team works with him across his Dubai practice locations.

Find out if you're a candidate.

Send your imaging or book a consultation. Dr. Rafik's team responds within one working day.