Behind the scenes of robotic surgery in Portsmouth QA Hospital
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00:00Hi, good morning. My name is Guillermo Nicolopiozzi.
00:02I'm a colorectal surgeon working here at Portsmouth at Queen Alexandra Hospital.
00:07I'm in a team with Professor Jim Kahn.
00:09We are now today at the 8th Portsmouth Colorectal Congress,
00:12which is the 8th edition of probably now becoming the most important and relevant
00:17robotic colorectal specific congress in Europe.
00:21We are also involved with the scientific societies.
00:24We have 18 scientific societies this year
00:27and we have 26 sponsors from all over the world, from local to extreme Asia.
00:32So from Japan, South Korea, coming here to have a taste of what Portsmouth is famous for.
00:38So I know many people don't know about this,
00:40but Portsmouth is an international hub for robotic surgery.
00:44Portsmouth has been doing robotic surgery since 2012
00:47and now Queen Alexandra Hospital and the Trust has four robotic platforms from Intuitive.
00:54This is called the surgeon console.
00:56The surgeon console is where the surgeon sits.
00:58So as you can see, there's a big difference.
01:00The surgeon is not standing around the patient,
01:01but can comfortably sit on this platform
01:04and this allows you to have a much better stability of your movements
01:08and a much better position.
01:10You have these handles that you move around
01:13and your movement actually, while you're mimicking here,
01:16is performed there on the robot, okay?
01:18And you have a sort of pedals that control other advanced functions.
01:23So you can, for example, I can enter inside and I can use this.
01:27It's for moving the camera.
01:29If I press this pedal, this is for switching my instruments
01:32and this is for using the left or the right arm energy, okay?
01:36You can see with the camera, I can go front and back, left and right
01:42and then I can move my instruments and I can grab tissues.
01:45For example, this, I can take it, move it, move it around.
01:50Even if I shake my hand, it wouldn't shake the instrument
01:54and then you can see the precision is very, very high.
01:58So this, you can see how small is this tissue
02:03and I can manipulate it very easily.
02:06This is a model made in Japan by a company called Kotobuki.
02:10They are very new company that makes this flashy looking models
02:15made with actually potatoes.
02:17Pressing a switch, I can shift from this to this.
02:20So I can shift my control from one arm to the other arm
02:24and I can perform like this surgery alone by myself.
02:28Oh, hello, I'm Tina.
02:30I've had many cancers over the last six years.
02:35Started with endometrial cancer in 2017
02:39and then in 2018, I was diagnosed with colon cancer.
02:44I had two tumours, one on the ascending and the
02:49descending or both sides of the womb.
02:53From that end in, I then got involved with
03:00Professor Khan with his charity work.
03:04Both my procedures then were done by Laparoscopic.
03:07And then I found out I had Lynch syndrome.
03:11So I was on the spectrum of always going to be having some sort of cancer.
03:16Then last year, I was diagnosed with pre-alter nodes, which were cancerous.
03:25It was, they weren't sure whether it was colon rectal
03:29or whether it was actually to do with my endometrial cancer.
03:33It was my endometrial cancer,
03:35but my surgeon then decided that the best option was through the robot.
03:41So last November, I was operated on by the robot.
03:46Hi, my name is Jim Khan.
03:48I'm a colorectal consultant and professor of robotic surgery
03:51at Portsmouth University Hospital NHS Trust.
03:54I've been a practicing consultant for nearly 15 years now
03:58and I have a passion for cancer surgery,
04:00improving patient outcomes and training for young surgeons in surgery.
04:05We have gone the distance with innovation and technology,
04:07developed new techniques,
04:09worked closely with companies who are innovating in robotics.
04:12And that's been a new mode of operating for us
04:15for many cancers and benign conditions for the last 12 years.
04:19Portsmouth holds a very unique position internationally
04:23when it comes to robotic surgery.
04:24We were one of the pioneer units in the country and in Europe
04:27to adopt high-end robotic surgery for cancer operations.
04:31And with the experience we have developed over the years
04:34and the innovations that have happened over that time period
04:37has allowed us to share the data with the world,
04:41with the patients and with our trainees
04:43to improve outcomes for those patients who suffer with this disorder
04:48in various formats and various presentations.
04:51We have gone global.
04:53We have done a lot of activities for education.
04:56This event with Portsmouth Colorectal Congress
04:58is the eighth event of that series.
04:59We do it every year when we get nearly 300 surgeons and trainees
05:03from all across the world.
05:05And we perform procedures, discuss techniques, data, outcomes
05:10with the common goal of improving outcomes for our cancer patients.
05:14I think from the patient perspective, we do offer a unique service
05:18which is a totally robotic practice for many common cancers
05:22including colorectal cancer.
05:23A lot of patients have benefited over the years from the techniques.
05:27Main benefits that I have seen from a distance
05:29is improving their quality of life,
05:34improving prognosis,
05:35decreasing the rates of a cancer recurrence or regrowth,
05:39reducing the need for a colostomy or a stoma bag on the abdomen.
05:43So the quality of life improvements are phenomenal.
05:45But equally in a very health conscious economy,
05:48the cost effective benefits of doing a program like this
05:51and actually saving money has been a phenomenal experience
05:53for all of us who have been involved in this.
05:55Our latest addition for us has been to extend the same program
05:59to our day case surgery program
06:01where people are having procedures done going home the same day
06:04where before they will end up staying in hospital for two or three days.
06:07So it's a big transformation for their recovery
06:10and return to function and return to work more importantly
06:13and will help the economy in the long term.