【Abstract】Objective To summarize postoperative care and treatment experiences of 36 patients underwent totally endoscopicrobotic assisted cardiac surgery.Methods 36 patients with heart diseases were treated by cardiac surgery using endoscopicroboticassisted. The patients returned to intensive care unit with endotracheal intubation were closely monitored vital signs and indicators, maintain stable breathing, circulation, prevention and cure of internal environment disturbance, given support treatment such as prevent infection, stop bleeding, strong heart, diuresis, and myocardial nutrition.Results All the 36 patients recovered. The patients with early postoperative complications such as secondary thoracotomy hemostatic、atrial fibrillation and hypoxemia, whose mechanical ventilation time and intensive care unit residence time increases obviously.Conclusion To strengthen the patients underwent totally endoscopicrobotic assisted cardiac surgerypostoperative monitoring vital signs, keep respiratory tract unobstructed, keep the cycle stability, maintain a stable internal environment, which can effectively reduce the incidence of postoperative complications and improve the success rate of surgery.