Pioneering specialists at NHS Golden Jubilee have carried out their landmark 500th robotic lung surgery benefitting patients from across Scotland - as well as some surprising benefits to the team itself.
Since using an Intuitive Da Vinci robot specifically for lung surgery in 2018, Thoracic surgeons at the Clydebank Hospital reached the milestone in August, and are now doing up to 8 robotic procedures every week.
The journey started when the Da Vinci robot was delivered on Good Friday in 2018, with the first case being carried out by Consultant Cardiothoracic surgeon, Mr John Butler on Tuesday 8 May of that year.
The innovative technology, which helps patients to recover more quickly, whilst significantly reducing the potential for complications and nerve damage during surgery, will form a major part of the Hospital’s lung surgery programme going forward.
Thoracic Surgeon Mr Alan Kirk said: “Since the beginning we have gone from strength to strength. We’ve now done more than 500 cases; we are the busiest unit in thoracic robotics in the north of the UK.
“We’ve gone from 2 surgeons to all 6 using the robot, which is key in terms of equity of access, to ensure all of our patients can benefit from this technology.
“The year before COVID-19 struck we did 509 lung resections for lung cancer and we would anticipate that, in the fullness of time, 80-90% of these cases would be suitable for robotic surgery.
“Of the lung resections we do, around 80% are keyhole surgery - 60% robotic, 20% conventional video assisted thoracic surgery, and 20% is done by open thoracotomy.”
The thoracic team at the Golden Jubilee can perform up to 1,400 chest operations every year.
During this pandemic, their lung surgeons have continued to provide vital cancer care for patients across Scotland.
The 500th patient to receive robotic lung surgery at the Golden Jubilee National Hospital was Una Scotland from Clackmannanshire.
Lung cancer was discovered when she went for an x-ray for kidney stones at NHS Louisa Jordan in Glasgow.
Una, 69, said: “I was really shocked when I found out. We’ve all lost someone through cancer, but you never think it will happen to you so I’m really grateful to have received this treatment.
“I have 4 grandchildren so it means I can spend more time with them. I would like to thank everyone throughout the NHS for my care, it has been first class.”
There are also human benefits of robotic surgery, with the programme helping the team become closer and deliver better care for patients.
Mr Kirk added: “We have an absolutely brilliant team in thoracics. We socialise together, we support each other, and because of the interdependence and trust you need to have in your team and working through this pandemic, it has brought us even closer together and we’re seeing better patient outcomes.
“The nursing staff value their jobs even more because they feel they are making a real difference to the patients they care for.
“Because of all of the additional activity over the past year that the theatre nurses have had to deal with, it has been a really challenging time for them, but we genuinely could not do this without them.
“It is human collaboration which makes this work and our theatre staff are extremely dedicated to delivering the best care for our patients and we are all extremely grateful to them.
“Our nurses and our allied health professionals (AHPs) come in here, do a great job and go home again, but I don’t think they realise just how great they really are.”
NHS Golden Jubilee Chief Executive Jann Gardner thanked the team for their hard work and dedication and presented staff with a trophy to mark the milestone.
She said: “We are constantly told by our robotic colleagues in the UK, France and Italy how good we are here in Scotland and how quickly we’ve developed.
“The last 3 years have been absolutely fantastic in terms of our robotic thoracic programme and it’s not just the patients who have experienced the benefits.
“We will continue to help NHS Scotland continue and recover services during these challenging times, working in collaboration with other health boards.
“On behalf of myself and all of us at NHS Golden Jubilee, I want to offer my heartfelt congratulations to the thoracic team on this landmark accomplishment. The life changing work they do on a daily basis makes such a difference to so many patients and families across the country, and we are incredibly thankful for all that they do.”
Una Scotland from Clackmannanshire was the 500th lung patient to be treated with NHS Golden Jubilee's Da Vinci robot
Members of the Thoracic team receive a trophy to mark the milestone from Chief Executive Jann Gardner, left, and Director of Operations June Rogers, right.
The Da Vinci robot
Transcript
Delighted to be down in theatres today to congratulate the thoracic robotic team on their 500th operation. What a fantastic achievement, 500 robotic procedures. But actually what we really remember is each of the 500 procedures means a life that has been changed by the fabulous care that's been offered. Great patient journey both in leading up to this, fully supported by a fabulous team who are so person centered in their approach and a much better recovery for the patients with less pain and better outcomes.
It was lung cancer. It was actually picked up through my kidney stones when I went for an X-ray for my kidney stones, and that's where it was picked up. So I've had one of the lobes taken away today. I'm quite privileged actually, being the 500th patient, I’m quite priviliged actually. It’s something else to tell the grandkids isn’t it?
60% of our lung cancer operations are now done by robotic means and the patient outcomes are fantastic. We're reducing the hospital stay and patient satisfaction surveys and outcomes are much better than they were before. Our very tight thoracic surgical team have come together much more and we’ve got a far better working environment because of the robot than we ever had before.
On the back of 500 cases in chest surgery., the NHS Golden Jubilee now is expanding into other services, including bowel surgery and possibly bladder surgery in the future.
Fantastic to meet and talk to the team today and hear about how much they enjoy their roles being part of really innovative care and making a real difference to the patients that we serve. So congratulations to the thoracic team and I look forward to the next 500 to come.
