In total endoscopic surgeries performed with the Da Vinci Robot system, the rib cage is not opened at all, there is no bone incision. The most important benefit of this surgery is the cosmetic advantage it provides to the patient. In diabetic patients, it is considered a protective intervention to prevent bone displacement after heart surgery, since there is almost no wound area, and to prevent infection. In addition, since there is no incision, it positively affects patients psychologically.