Professor Keita Kikuchi, MD, PhD
PROF. KEITA KIKUCHI, MD, PhD
Ahli Bedah Kardiovaskular | Pakar Internasional Bedah Jantung Minimal Invasif
Spesialisasi Utama: MICS-CABG dan Bedah Katup Jantung Minimal Invasif
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PROFIL PROFESIONAL
Prof. Keita Kikuchi merupakan ahli bedah kardiovaskular asal Jepang dengan pengalaman klinis, akademik, dan pendidikan kedokteran yang luas dalam bidang bedah jantung minimal invasif (Minimally Invasive Cardiac Surgery/MICS), bedah bypass arteri koroner, bedah katup jantung, serta bedah jantung dewasa kompleks.
Bidang keahlian utama beliau adalah Minimally Invasive Coronary Artery Bypass Grafting (MICS-CABG), yang mencakup revaskularisasi koroner multipembuluh tanpa menggunakan mesin jantung-paru (off-pump) melalui sayatan kecil pada dinding dada, strategi penggunaan graft arteri tingkat lanjut, penggunaan kedua arteri torakalis interna, serta revaskularisasi koroner total berbasis graft arteri.
Keahlian beliau tidak terbatas pada bedah koroner. Prof. Kikuchi juga memiliki pengalaman luas dalam bedah minimal invasif untuk penyakit katup jantung, menjadikannya ahli MICS yang komprehensif dalam bidang bedah jantung dewasa.
Beliau juga pernah berperan sebagai co-investigator dalam MIST Trial, uji klinis acak terkontrol pertama yang membandingkan MICS-CABG multipembuluh dengan CABG konvensional melalui sternotomi. Hasil penelitian ini dipublikasikan dalam jurnal The Lancet pada tahun 2026.
Sebagai senior konsultan bedah jantung, dalam peran ini, beliau memimpin pengembangan layanan bedah kardiovaskular, standar klinis, pendidikan tim medis, peningkatan mutu layanan, serta kolaborasi internasional, dengan fokus kuat pada strategi pengobatan jantung tingkat lanjut dan minimal invasif.
JABATAN SAAT INI
- Kepala Departemen Bedah Kardiovaskular, SCVC Bali
- Distinguished Professor, Departemen Bedah Kardiovaskular, The First Affiliated Hospital of Xi’an Jiaotong University, Tiongkok
- Supervisor, Departemen Bedah Jantung, The Jikei University School of Medicine, Jepang
- Visiting Professor, Departemen Bedah Kardiovaskular, Teikyo University, Jepang
- CABG Advisor, Tokyo Bay Urayasu Ichikawa Medical Center, Jepang
- Supervisor, Departemen Bedah Kardiovaskular, Yuuai Medical Center, Okinawa, Jepang
KEAHLIAN DALAM BEDAH JANTUNG MINIMAL INVASIF
Prof. Kikuchi merupakan ahli bedah jantung dewasa minimal invasif, dengan keunggulan khusus dalam revaskularisasi koroner kompleks dan bedah katup jantung minimal invasif.
Pendekatan klinis beliau didasarkan pada pemilihan strategi bedah dengan tingkat invasivitas paling rendah yang tetap mampu memberikan hasil pengobatan yang aman, menyeluruh, dan berkelanjutan bagi setiap pasien.
Bidang keahlian beliau meliputi:
- Minimally Invasive Cardiac Surgery (MICS)
- Minimally Invasive Coronary Artery Bypass Grafting (MICS-CABG)
- MICS-CABG multipembuluh tanpa mesin jantung-paru (off-pump)
- Bedah katup jantung minimal invasif
- Coronary Artery Bypass Grafting (CABG) dan Off-Pump CABG
- Revaskularisasi koroner total dan revaskularisasi menggunakan beberapa graft arteri
- Penggunaan kedua arteri torakalis interna sebagai graft (Bilateral Internal Thoracic Artery/BITA Grafting)
- Revaskularisasi koroner kompleks dan strategi pemilihan graft yang disesuaikan dengan kondisi pasien
- Bedah aorta minimal invasif dan bedah jantung dewasa pada pasien terpilih
MICS-CABG: BIDANG KEAHLIAN UTAMA
MICS-CABG merupakan salah satu bidang keahlian unggulan Prof. Kikuchi. Selama lebih dari satu dekade, beliau telah melakukan dan mengembangkan teknik bypass koroner multipembuluh minimal invasif, serta aktif dalam pendidikan dan penyebarluasan teknik ini di tingkat internasional.
Praktik MICS-CABG beliau menekankan revaskularisasi koroner yang menyeluruh melalui sayatan terbatas pada dinding dada, dengan tetap mempertahankan prinsip-prinsip utama bedah bypass berkualitas tinggi.
Beliau memiliki pengalaman luas dalam:
- Teknik bypass tanpa mesin jantung-paru (off-pump)
- Pemasangan graft pada beberapa pembuluh koroner
- Penggunaan kedua arteri torakalis interna
- Penggunaan beberapa saluran graft arteri
- Konfigurasi graft yang kompleks
Prinsip Utama dalam Praktik Bedah
Pendekatan minimal invasif tidak boleh mengorbankan kualitas tindakan bedah.
Strategi operasi disesuaikan dengan anatomi koroner, fungsi ventrikel, kondisi aorta, ketersediaan pembuluh darah yang digunakan sebagai graft, serta kondisi umum pasien.
Keselamatan pasien dan keberhasilan revaskularisasi koroner yang menyeluruh menjadi prioritas utama, bukan sekadar ukuran sayatan operasi.
Prof. Kikuchi juga berpengalaman sebagai instruktur dan proctor MICS-CABG di tingkat internasional. Beliau berbagi pengetahuan mengenai teknik operasi, perencanaan prosedur, pemecahan masalah intraoperatif, serta alur kerja tim dengan ahli bedah kardiovaskular dan tim bedah di berbagai negara.
MIST TRIAL: KONTRIBUSI DALAM PENELITIAN KLINIS INTERNASIONAL
Prof. Kikuchi berperan sebagai co-investigator dalam MIST Trial (Minimally Invasive coronary surgery compared to STernotomy CABG), yang dipublikasikan dalam jurnal The Lancet pada tahun 2026.
Penelitian ini dilaksanakan di tujuh pusat medis yang tersebar di enam negara dan merupakan uji klinis acak terkontrol pertama yang membandingkan MICS-CABG multipembuluh dengan CABG konvensional melalui sternotomi.
Hasil penelitian menunjukkan bahwa pasien yang menjalani MICS-CABG mengalami pemulihan kondisi fisik yang dilaporkan pasien secara signifikan lebih baik setelah satu bulan, tanpa indikasi peningkatan risiko keselamatan hingga 12 bulan.
Keterlibatan Prof. Kikuchi dalam penelitian penting ini mencerminkan kontribusi beliau terhadap kemajuan klinis MICS-CABG sekaligus pengembangan bukti ilmiah berkualitas tinggi mengenai bedah koroner minimal invasif.
BEDAH KATUP JANTUNG MINIMAL INVASIF
Meskipun MICS-CABG merupakan bidang spesialisasi yang paling dikenal dari Prof. Kikuchi, keahlian beliau mencakup bidang MICS secara lebih luas.
Beliau telah melakukan berbagai prosedur bedah minimal invasif untuk penyakit katup jantung dan memiliki pengalaman luas dalam menerapkan teknik bedah jantung melalui sayatan kecil pada pasien yang memenuhi kriteria klinis.
Pengalaman ini memungkinkan Prof. Kikuchi menilai pasien tidak hanya berdasarkan satu jenis prosedur, tetapi berdasarkan strategi bedah yang paling tepat secara keseluruhan.
Pendekatan beliau menggabungkan:
- Akses pembedahan yang presisi
- Pemilihan pasien yang cermat
- Teknik operasi tingkat lanjut
- Manajemen perioperatif multidisiplin
Di SCVC Bali, keahlian ini mendukung pengembangan layanan bedah jantung minimal invasif yang komprehensif, mencakup penyakit koroner dan katup jantung, dengan tetap mempertahankan bedah jantung konvensional sebagai pilihan penting apabila memberikan penanganan yang paling aman dan sesuai bagi pasien.
BEDAH ARTERI KORONER TINGKAT LANJUT
Prof. Kikuchi memiliki pengalaman luas dalam revaskularisasi koroner melalui pembedahan, mulai dari CABG konvensional hingga pendekatan minimal invasif dan tanpa mesin jantung-paru.
Praktik bedah koroner beliau ditandai dengan pemilihan graft yang disesuaikan dengan kondisi setiap pasien serta penekanan kuat pada keberhasilan revaskularisasi yang optimal dan berkelanjutan.
Keahlian meliputi:
- CABG konvensional dan minimal invasif
- Bypass arteri koroner tanpa mesin jantung-paru
- Revaskularisasi multipembuluh melalui sayatan kecil pada dinding dada
- Penggunaan kedua arteri torakalis interna sebagai graft
- Strategi graft total arteri dan beberapa graft arteri
- Anatomi koroner kompleks dan perencanaan graft tingkat lanjut
- Pemilihan pendekatan bedah minimal invasif atau konvensional berdasarkan kebutuhan masing-masing pasien
KEPEMIMPINAN BEDAH & PENDIDIKAN INTERNASIONAL
Prof. Kikuchi telah membangun karier klinis dan akademik internasional di Jepang dan kawasan Asia.
Selain menjalankan praktik bedah, beliau aktif dalam pendidikan internasional, surgical proctorship, pelatihan teknik melalui demonstrasi langsung maupun video, serta pengembangan program bedah koroner minimal invasif.
Kegiatan pendidikan beliau mencakup:
- Pelatihan MICS-CABG
- Pendidikan bedah secara langsung (hands-on surgical education)
- Demonstrasi teknik operasi
- Proctorship dan konsultasi teknis
- Pengembangan program bedah
- Pelatihan tim multidisiplin
Tujuan beliau bukan hanya melakukan prosedur bedah tingkat lanjut, tetapi juga memastikan bahwa layanan bedah jantung minimal invasif berkualitas tinggi dapat diterapkan secara konsisten melalui pendidikan terstruktur dan pengembangan tim.
Aktivitas internasional serta peran kepemimpinan beliau menghubungkan SCVC Bali dengan jaringan luas ahli bedah kardiovaskular dan institusi medis di berbagai negara, mendukung transfer pengetahuan serta pengembangan layanan bedah jantung modern di Indonesia dan Asia Tenggara.
KONTRIBUSI AKADEMIK & ILMIAH
Prof. Kikuchi aktif dalam penelitian klinis, publikasi ilmiah, serta presentasi akademik internasional.
Minat penelitian utama beliau meliputi:
- Revaskularisasi koroner minimal invasif
- MICS-CABG
- Bedah tanpa mesin jantung-paru (off-pump surgery)
- Penggunaan graft arteri
- Revaskularisasi koroner total berbasis arteri
- Teknik operasi
- Hasil klinis setelah bedah jantung minimal invasif
KEPEMIMPINAN PROFESIONAL & SERTIFIKASI
- Director, World, International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS)
- Board Director, Japanese Association for Minimally Invasive Cardiac Surgery (J-MICS)
- Certified Instructor in Minimally Invasive Cardiac Surgery (MICS), J-MICS
- Director, Japanese Association for Coronary Artery Surgery (JACAS)
- Councilor, The Japanese Society for Cardiovascular Surgery (JSCVS)
- Certified Training Supervisor in Cardiovascular Surgery, The Japanese Board of Cardiovascular Surgery (JBCVS)
PROF. KEITA KIKUCHI DI SCVC BALI
Sebagai Kepala Departemen Bedah Kardiovaskular SCVC Bali, Prof. Kikuchi memimpin pengembangan layanan bedah jantung dewasa tingkat lanjut, dengan fokus khusus pada MICS-CABG dan bedah katup jantung minimal invasif.
Dengan berbekal pengalaman klinis, akademik, dan pendidikan internasional, beliau mendukung SCVC Bali dalam membangun layanan kardiovaskular berkualitas tinggi, multidisiplin, dan terhubung dengan jaringan internasional bagi pasien di Indonesia dan seluruh Asia Tenggara.
Pengalaman Internasional Teknik Bedah Tingkat Lanjut, Perawatan yang Berfokus pada Pasien.
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PROFILE
Prof. Keita Kikuchi is a Japanese cardiovascular surgeon with extensive clinical, academic, and educational experience in minimally invasive cardiac surgery (MICS), coronary artery bypass grafting, valvular heart surgery, and complex adult cardiac surgery.
His principal area of expertise is Minimally Invasive Coronary Artery Bypass Grafting (MICS-CABG), including multivessel off-pump coronary revascularization through a small thoracotomy, advanced arterial grafting strategies, bilateral internal thoracic artery grafting, and total arterial revascularization.
His expertise is not limited to coronary surgery: he also has extensive experience in minimally invasive surgery for valvular heart disease, making him a comprehensive MICS specialist in adult cardiac surgery.
He also served as a co-investigator in the landmark MIST trial, the first randomized controlled trial comparing multivessel MICS-CABG with conventional sternotomy CABG, published in The Lancet in 2026.
As a Senior Consultant in Cardiac Surgery, he leads the development of cardiovascular surgical services, clinical standards, medical team education, quality improvement initiatives, and international collaborations. His role focuses on advancing sophisticated and minimally invasive cardiac treatment strategies, with a strong commitment to delivering high-quality, patient-centered care.
CURRENT APPOINTMENTS
- Head, Department of Cardiovascular Surgery, SCVC Bali
- Distinguished Professor, Department of Cardiovascular Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, China
- Supervisor, Department of Cardiac Surgery, The Jikei University School of Medicine, Japan
- Visiting Professor, Department of Cardiovascular Surgery, Teikyo University, Japan
- CABG Advisor, Tokyo Bay Urayasu Ichikawa Medical Center, Japan
- Supervisor, Department of Cardiovascular Surgery, Yuuai Medical Center, Okinawa, Japan
EXPERTISE IN MINIMALLY INVASIVE CARDIAC SURGERY
Prof. Kikuchi is an expert in minimally invasive adult cardiac surgery, with particular strength in complex coronary revascularization and minimally invasive valve surgery. His clinical approach is based on selecting the least invasive strategy that can safely achieve complete and durable treatment for each patient.
- Minimally Invasive Cardiac Surgery (MICS)
- Minimally Invasive Coronary Artery Bypass Grafting (MICS-CABG)
- Multivessel Off-Pump MICS-CABG
- Minimally Invasive Valve Surgery
- Coronary Artery Bypass Grafting (CABG) and Off-Pump CABG
- Total Arterial and Multiple-Arterial Revascularization
- Bilateral Internal Thoracic Artery (BITA) Grafting
- Complex Coronary Revascularization and Individualized Graft Strategy
- Minimally Invasive Aortic and Adult Cardiac Surgery in Selected Patients
MICS-CABG: A SIGNATURE AREA OF EXPERTISE
MICS-CABG is one of Prof. Kikuchi’s signature fields. He has been performing and developing minimally invasive multivessel coronary bypass techniques for more than a decade and has been actively involved in their international teaching and dissemination.
His MICS-CABG practice emphasizes complete coronary revascularization through a limited thoracic incision while preserving the fundamental principles of high-quality bypass surgery. He has extensive experience with off-pump techniques, multivessel grafting, bilateral internal thoracic arteries, multiple arterial conduits, and complex graft configurations.
A central principle of his practice is that minimally invasive access should never compromise surgical quality. The operative strategy is tailored to coronary anatomy, ventricular function, aortic pathology, conduit availability, and the overall condition of the patient, with safety and completeness of revascularization taking priority over incision size.
Prof. Kikuchi has also served internationally as a MICS-CABG instructor and proctor, sharing operative techniques, procedural planning, troubleshooting, and team-based workflow with cardiovascular surgeons and surgical teams in multiple countries.
MIST TRIAL: LANDMARK RANDOMIZED EVIDENCE
Prof. Kikuchi served as a co-investigator in the MIST trial (Minimally Invasive coronary surgery compared to STernotomy CABG), published in The Lancet in 2026. Conducted at seven centers across six countries, MIST is the first randomized controlled trial comparing multivessel MICS-CABG with conventional sternotomy CABG.
The trial demonstrated significantly better patient-reported physical recovery at 1 month with MICS-CABG, with no apparent safety penalty through 12 months. His participation in this landmark trial highlights his contribution to both the clinical advancement of MICS-CABG and the generation of high-level randomized evidence for minimally invasive coronary surgery.
MINIMALLY INVASIVE VALVE SURGERY: BROADER MICS EXPERTISE
Although MICS-CABG is his best-known subspecialty, Prof. Kikuchi is a broader MICS expert. He has performed numerous minimally invasive operations for valvular heart disease and has extensive experience applying small-incision cardiac surgery to appropriately selected patients with valve pathology.
This broader experience in MICS enables him to evaluate patients not from the perspective of a single procedure, but from the perspective of the most appropriate overall surgical strategy. His practice combines precise surgical exposure, careful patient selection, advanced operative technique, and multidisciplinary perioperative management.
At SCVC Bali, this expertise supports the development of a comprehensive minimally invasive cardiac surgery program encompassing both coronary and valvular heart disease, while maintaining conventional cardiac surgery as an essential option whenever it provides the safest or most appropriate treatment.
ADVANCED CORONARY ARTERY SURGERY
Prof. Kikuchi has extensive experience in surgical coronary revascularization, ranging from conventional CABG to advanced minimally invasive and off-pump approaches. His coronary practice is characterized by individualized graft selection and a strong emphasis on durable revascularization.
- Conventional and minimally invasive CABG
- Off-pump coronary artery bypass grafting
- Multivessel revascularization through a small thoracotomy
- Bilateral internal thoracic artery grafting
- Total arterial and multiple-arterial grafting strategies
- Complex coronary anatomy and advanced graft planning
- Patient-specific selection between minimally invasive and conventional surgical approaches
INTERNATIONAL SURGICAL LEADERSHIP & EDUCATION
Prof. Kikuchi has developed an international clinical and academic career across Japan and Asia. In addition to his surgical practice, he is actively involved in international education, surgical proctorship, live and video-based technical teaching, and the development of minimally invasive coronary programs.
His educational activities include MICS-CABG training, hands-on surgical education, operative demonstrations, proctorship, technical consultation, program development, and multidisciplinary team training. His aim is not only to perform advanced procedures, but also to make high-quality minimally invasive cardiac surgery reproducible through structured education and team development.
His international activities and leadership roles connect SCVC Bali with a broad network of cardiovascular surgeons and institutions, supporting knowledge transfer and the development of contemporary cardiac surgical care in Indonesia and Southeast Asia.
ACADEMIC & SCIENTIFIC CONTRIBUTION
Prof. Kikuchi is actively involved in clinical research, scientific publication, and international academic presentations. His major academic interests include minimally invasive coronary revascularization, MICS-CABG, off-pump surgery, arterial grafting, total arterial revascularization, operative technique, and outcomes after minimally invasive cardiac surgery.
PROFESSIONAL LEADERSHIP & CERTIFICATIONS
- Director, World, International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS)
- Board Director, Japanese Association for Minimally Invasive Cardiac Surgery (J-MICS)
- Certified Instructor in Minimally Invasive Cardiac Surgery (MICS), J-MICS
- Director, Japanese Association for Coronary Artery Surgery (JACAS)
- Councilor, The Japanese Society for Cardiovascular Surgery (JSCVS)
- Certified Training Supervisor in Cardiovascular Surgery, The Japanese Board of Cardiovascular Surgery (JBCVS)
PROF. KEITA KIKUCHI AT SCVC BALI
With his extensive expertise and experience, Prof. Kikuchi leads the development of advanced adult cardiac surgery, with a particular focus on MICS-CABG (Minimally Invasive Cardiac Surgery – Coronary Artery Bypass Grafting) and minimally invasive heart valve surgery.
Drawing on his extensive international clinical, academic, and medical education experience, he plays a key role in supporting SCVC Bali in developing a high-quality, multidisciplinary, and internationally connected cardiovascular program, serving patients across Indonesia and Southeast Asia.
