SURGERY
so this reduces the time that blood flow to the kidney is stopped while the tumour is removed. Consequently, there is less damage to the kidney, keeping it functioning better after the operation, and more of the kidney can be preserved.”
During a robotic procedure, surgeons control the robot’s ‘arms’ from a console as they look down small telescopes on the end of each arm to see inside the four keyhole incisions. The machine gives them a 3D HD view while they operate, eliminates tremor and provides an increased range of movement, which leads to more precision and quicker stitching. Guy’s and St Thomas’ claims to carry out the most robotic operations in the UK with around 1,100 cases a year, using three da Vinci surgical robots. It is also the latest NHS Trust, and first site in London, to adopt the Versius robot from CMR Surgical. NHS England has recently endorsed robotic surgery as a new way to perform a partial nephrectomy. The team at Guy’s perform around 70 cases a year and have carried out more than 300 to date.
Mr Challacombe was appointed to
Guy’s and St Thomas’ in 2010 following his fellowship in Australia. He is the highest volume surgeon for robotic partial nephrectomy in the UK (over 600 cases) and also specialises in robotic radical prostatectomy, and robotic surgery for nephro-ureterectomy, pyeloplasty, adrenalectomy and nephrectomy, and Holmium laser prostatectomy (HoLEP). Overall, he has performed over 2,000 robotic procedures and 1,000 HoLEPS. Claire Brown, Future Surgery programme
director, said: “After many months of working through the pandemic, and the most challenging of times within our healthcare system, the show offered important insight
and training enabling everyone in the perioperative team to come together, reflect, share experiences, and learn about how to technology and new ways of working will revolutionise patient care and outcomes.” Other key highlights included:
l The Opening Address from Stephen Powis, national medical director NHS England/ NHS Improvement. Professor Powis provided reflections on the pandemic and the challenges ahead, as well as the plans for elective recovery, workforce and innovation.
l There was also a lively panel discussion on the ‘Recovery of elective services’. The session discussed solutions, barriers and the impact of COVID on the future of elective NHS services.
l Double Paralympic Champion in British Cycling Ben Watson spoke about the similarities between elite athletes and surgeons including burn out, over training and mental health.
l Ramani Moonesinghe, national clinical director for critical and perioperative care,
NHS England and NHS Improvement, discussed the opportunities for innovation and collaboration in improving patient- centred critical and perioperative care.
l Professor Shafi Ahmed chaired a panel discussion sponsored by Johnson and Johnson on how adopting a digital ecosystem can support creating a future where medical intervention is smarter, less invasive, and more personalised through data, providing solutions to the most pressing challenges facing the NHS.
The programme for Future Surgery 2021 was supported by the surgical Royal Colleges of England, Edinburgh, Ireland & Glasgow, ASiT – The Association of Surgeons in Training, The Association for Perioperative Practice (AfPP), NHS Benchmarking Network, British Orthopaedic Association, The Confederation of British Surgery (CBS), College of Operating Department Practitioners (CODP), The Royal College of Nursing, The Royal Society of Medicine, and the Society of Surgical Simulation. Event sponsors included Johnson & Johnson, Medtronic, CMR Surgical, Sony and Quilter. Future Surgery 2022 will take place on 15- 16 November at ExCeL, London.
CSJ
References 1 COVID-STAR Collaborative Study Group. COVID-19 impact on Surgical Training and Recovery Planning (COVID-STAR) – a cross-sectional observational study. Int J Surg 2021; 88: 105903.
2 El-Sayed, C and Kolaityte V, Surgical training in the COVID era, The Bulletin, Royal College of Surgeons, Volume: 103 Issue: S1, September 2021, pp. 028-030
https://doi.org/10.1308/rcsbull.TB2021.10 Published online: August 31, 2021
3 Kanakamedala, A.C, et al, Haptic Feedback during Virtual Reality Training Significantly Improves First- Year Orthopaedic Resident Performance of Drilling the Tibia, Trauma Poster Session 1. Presented on Friday, January 8, 2021 7:00 AM, accessed at:
https://aaos.scientificposters.com/
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