Develop the robotic assisted surgical programme
We also need help to develop the NHS trust’s robotic assisted surgical programme. Charitable support has been successful in acquiring its first Da Vinci Xi robotic surgical system, which represents a significant advancement in modern surgical care. The benefits over open and laparoscopic (key hole) techniques include: fewer post operative complications; reduced length of stay in hospital post operatively; less risk of infection during surgery; less blood loss and fewer blood transfusions during surgery; less pain; faster recovery period, with patients able to resume normal activities sooner; and surgeons being able to perform operations that, due to the improved range of motion and dexterity, would be very difficult to do without robotic assistance.

To support the development and roll out of this programme, including the training of surgeons in robotic assisted surgery, there is a need to secure a second console to enable safe, hands-on training and mentoring by allowing a trainee and an experienced trainer/ proctor to operate within the same robotic environment, in real time. There are several benefits of operating with a second console, including:
- A safe, supervised learning environment, as the supervising surgeon/ proctor can instantly take control of the robotic instruments. This maintains patient safety while still providing the trainee genuine operative experience. It is also recommended by the Royal College of Surgeons in its national guidance
- Real time guidance as the supervising surgeon can demonstrate specific steps then hand back control immediately
- Shared visualisation and communication, as both consoles display the same 3D view of the operative field, allowing the supervising surgeon to point out anatomy, instrument movement and technique precisely as the trainee operate
- Reducing theatre downtime that can occur with slower, purely observational training.
If you would like further information on development of the robotic assisted surgical programme, please contact Rob Aldous on 020 8973 5040 or by email at r.aldous@nhs.net. Thank you.