00:00So a historic moment. This is the first telesurgery procedure from the London
00:08Clinic to St. Bernard's Hospital in Gibraltar, 2400 kilometers away.
00:18Unbelievable. It went very well. It was almost as though I was there. We used a
00:26robot and a very specialized connection between London to Gibraltar. It didn't
00:34fail at all. The time delay between the two sides, 60 milliseconds, 0.06 seconds.
00:44Fools my brain into thinking I'm in Gibraltar and the patient doesn't have to
00:50travel. His family does not have to travel which is what happened for 20 years.
00:55So I think this is going to be very good for the patients in Gibraltar and other
01:01remote areas. Sixty-two-year-old Paul Buxton was operated on by leading surgeon
01:07Professor Prakar Dasgupta. The only hospital in Gibraltar is St. Bernard's at
01:13Europort. But residents with more complex needs would usually travel further afield,
01:20including to the UK, for NHS care for those eligible. After a shock prostate cancer diagnosis
01:28after Christmas, Mr Buxton was expecting to join the NHS waiting list and travel to England
01:34for care. But he was given the opportunity to be the first patient to have the treatment
01:41remotely and jumped at the chance. So the technology is a robot. This is a machine
01:51from a company called Microport. And the machine is called Tumai, T-O-U-M-A-I. It has a
01:58console,
01:59which is here. There is a similar console which is connected to this console in Gibraltar. The
02:05robot has four arms, which means that we can do the surgery keyhole. The four arms simply mean that
02:13we have a 3D high-definition camera. Imagine the best 3D TV you could have at home. The view is
02:21much
02:21more magnified. The prostate, which is that small, looks like a football to me. Rather than make big
02:27cuts, this is an olden keyhole because it has tiny little wrists which you can move inside the patient
02:34without making a big cut. These wrists are the size of my fingernails, seven millimeters. So a much finer
02:43way of doing the operation. So that's the technology done through keyhole surgery. But the more important
02:49thing is the connectivity. We are able to connect London to Gibraltar almost seamlessly.
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