In a groundbreaking medical achievement, a 62-year-old man from Gibraltar has undergone successful prostate cancer surgery directed by a surgeon located 1,500 miles away in London. This pioneering operation highlights the potential of remote robotic surgery to transform healthcare access, particularly for patients in regions with limited medical facilities.
A Milestone in Remote Surgery
The surgery, which took place at St Bernard’s Hospital, Gibraltar’s only medical centre, was performed using the advanced Toumai Robotic System, equipped with a 3D camera and four robotic arms. Leading the operation was Professor Prokar Dasgupta, an esteemed urologist based at The London Clinic’s robotic centre of excellence. Dasgupta expertly manoeuvred the robotic system from a console in London, showcasing a remarkable time lag of merely 0.06 seconds between his commands and the robot’s actions in Gibraltar.
Paul Buxton, originally from Burnham-on-Sea in Somerset, was diagnosed with prostate cancer and initially anticipated a lengthy wait on the NHS list for surgery in England. However, the opportunity for remote surgery presented itself, and he eagerly accepted the chance to participate in this cutting-edge procedure.
“I thought, I’m giving something back here,” Buxton remarked. “It’s been a privilege to be part of medical history.” His decision to proceed with the remote surgery proved to be life-changing, as he reported feeling “fantastic” just days after the operation.
The Technology Behind the Procedure
The remote surgical operation relied on high-speed fibre optic connections, complemented by a backup 5G network to ensure reliability. A dedicated team at St Bernard’s was on standby to intervene if necessary. Prof Dasgupta described the operation as a significant milestone in the evolution of remote surgery, noting its potential to alleviate the burden of travel for patients requiring specialist care.

“This is not just a triumph for technology; it signifies progress in healthcare accessibility,” he stated. “The humanitarian benefit is going to be significant, especially for those in remote areas who may struggle to access high-quality healthcare.”
Implications for Healthcare Access
The success of this pioneering procedure holds profound implications for patients living in geographical areas with limited surgical options. Remote robotic surgery can drastically reduce the need for patients to travel long distances for complex procedures, thereby saving time and reducing healthcare costs.
Dasgupta is set to perform another remote surgery on 14 March, with an audience of 20,000 surgeons watching via livestream at the European Association of Urology congress. Such exhibitions of innovative surgical techniques could inspire further advancements and wider acceptance of remote operations in various medical fields.
Why it Matters
The advent of remote robotic surgery represents a transformative step in healthcare, particularly for patients in isolated regions. By bridging the gap between advanced medical expertise and those in need, this technology not only enhances surgical outcomes but also embodies a shift towards more equitable healthcare access. As demonstrated by Buxton’s experience, the ability to receive world-class surgical care without the burden of travel could redefine patient experiences and outcomes across the globe.
