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London Bridge Hospital – December 19 SPECIALIST LONDON BRIDGE HOSPITAL – DECEMBER 19 ROBOTICS VASCULAR CARDIOLOGY Robot-assisted surgeries are a core The last ten years have seen major Featuring two areas of interventional focus for 2020 with an increasing developments in vascular surgery. cardiology that continue to transform number of specialties joining Consultant vascular surgeons treatment of life limiting cardiac urology. This will help us deliver more explain how our new hybrid theatre diseases. We explore how technology comprehensively and to the highest provides an even better setting for and device advances are improving standards in the private sector. their complex endovascular work. outcomes in high risk patients. 1 INTRODUCTION CONTENTS A MESSAGE FROM CONTENTS JANENE MADDEN CEO I’m extremely proud of all that we have The City and Canary Wharf. For 2020 we’ve achieved together in 2019. Indeed this year already had approval for a new 3T MRI for 4. ROBOTICS we are the highest performing hospital the main Hospital, and we have submitted a PROGRAMME in the HCA UK group. Without you, we business case for a 3rd endoscopy unit and would not be in this position. And in refurbishment. 2020 we will build on this success I would like to pass on my sincere thanks supporting you with the best teams to everyone for their professionalism and and technology so that we can calmness during the recent terror incident continue to grow together. and resulting lock down. We continue to 6. COMPLEX We are very conscious of the fine tune our response to such incidents ENDOVASCULAR SURGERY need to improve our customer and importantly, ensure we communicate service capability and digital delivery, as early as possible to staff, doctors and as well as other areas of business, that patients. Sadly during incidents such as will drive more patients your way. Our these messages from the police change new Vice President of Marketing, Gordon rapidly as more information becomes 8. CARDIAC: Henderson is passionate about healthcare available. However this is often confused COMPLEX PCI and is already working on plans to showcase by social media channels, so the only true our combined efforts. position we can give is that we are in lock Alongside the outstanding medical care down within a police cordon, with no precise we aim for every day, we’re pleased to say information on incident duration. that London Bridge Hospital leads the group Finally, I’ve just finished reading Mr David on patient satisfaction as well as having the Sellu’s autobiography ‘Did he save lives? A 10. A NEW ERA IN LUNG lowest staff turnover in the company (clinical surgeon’s story’. It is a pertinent reminder that CANCER TREATMENT staff turnover at LBH sits at 10%). We will the patient’s care must be our primary focus also have achieved JAG re-accreditation at all times. This Hospital is the envy of many and before year end we have an audit visit a private organisation, not least because of from the British Society of Echocardiography you and your colleagues. I believe our success (BSE), and we hope to become the first comes from your collegiate working within privately accredited Hospital. Thank you to multidisciplinary teams, underpinned by our 12. A UK FIRST IN Professor Chambers and the Echo team for strong governance and focus on quality. SPINAL ROBOTICS leading the way. Ours is a continuous journey of learning and 2019 has been a busy year. We com- improvement. missioned a new hybrid theatre, a spinal I would like to wish you and your families robot, an ultra-low dose CT scanner, a a very Merry Christmas, and all the best of standing CT and an MRI scanner. We also say health and happiness for the New Year. 14. THE FUTURE goodbye to Sevenoaks Medical Centre as we With many thanks for all your support. FOR TAVI complete the sale to KIMs Hospital early in I look forward to seeing many of you at our the New Year. This will allow us to focus on New Year’s Party at the Guildhall on Friday our core outpatient business in The Shard, 7th February. Front cover: Mr Asit Arora, Consultant Head & Neck Surgeon 2 3 FEATURE FEATURE THE MARCH OF THE ROBOTS 2020 PLANS FOR GROWING OUR ROBOTIC PROGRAMME Pictured right: Mr JP Jeannon, Consultant Head & Neck Surgeon Along with minimally invasive procedures, robot-assisted surgeries are increasingly evidencing the delivery of better outcomes. 2020 will begin a programme to help insurers and patients see the robotic surgical light There is no doubt that robotic surgery, Gynaecology (hysterectomy and endome- length of stay from 2 weeks to 2 days. And as attached to the carotid artery, just by the HUMAN AND PAYER COSTS already a force in urology, is swiftly being triosis), thoracic surgery and colorectal. Those anyone who’s had a thoracotomy to resect canal leading to the brain. The options are GREATLY REDUCED followed by other specialties due to its vital who are performing in our HCA hospitals are a lung tumour – where the visual field can be either a maxillary swing (where the whole role in delivering ‘better’. This millennium’s the skilled and experienced clinical leaders we limited – the pain is excruciating with a three maxilla is freed and swung laterally to provide Failing to embrace appropriate robotic- new generation of surgeons who are uniquely will support as we develop the HCA academy month recovery. The obvious benefits are access) followed by plastic surgery; or use assisted intervention (alongside open skilled in robotic surgery are changing the to promote and maintain standards in embraced in many countries in Europe and of the arms of the robot inside the oral cavity and laparoscopic interventions), leaves face of intervention and invasive surgery. this field. course the US, but perhaps need to be better ensuring better access and greater accuracy. our sector out of step with the advances The results of this hard work and Cindy Sightes, Vice President and Chief understood here. Here at London Bridge Hospital, Consultant technology affords, as well as doing a investment (both surgeon and hospital Finance Officer HCA UK (from the US) recently Head & Neck Surgeon’s Mr JP Jeannon and Mr disservice to our customers and patients provider), for patients and payers are said: “If I do anything before I leave the UK, it will THE SECONDARY Asit Arora were able to move deftly around and potentially putting lives at greater risk. threefold: better health outcomes, better be to ensure women needing a hysterectomy BENEFITS OF ROBOTICS the carotid to resect a tumour trans-orally. Helping payers embrace well-governed, patient experience and potentially lower will have the option of robotic surgery.” robotic surgery is very much on our agenda costs. So, in the right clinical circumstances Arguably the most valuable benefits are THE TERTIARY BENEFITS OF ROBOTICS for 2020. put simply: less invasive, more accurate THE PRIMARY BENEFITS OF ROBOTICS being able to operate with greater precision and effective at reducing need for further and visibility, reducing human error (natural Often in cancer patients the robot is able A FINAL WORD ON ENDO-WRISTS treatment or adjuvant therapy. With robotics, in the hands of experienced tremor) and locating often hard to detect to support better prognosis through greater HCA UK and London Bridge Hospital surgeons, at the very least, patients are primary cancers. The robot has unique accuracy at the earliest stage in the patient “The greater range of movement than are in the process of developing a robotic offered an approach delivering: less/no access within the (small) cavities of the journey. The impact of this can be reducing human wrists; the 3D high magnification programme to support existing activity in scarring, lower infection rates, less blood body and it offers a view and dexterity that the need for systemic therapies altogether vision; augmented operative imaging, urology and expand to those specialties that loss/pain, lower conversion to open rates can preserve other structures such as vital and greatly reduced radiotherapy, plus the and no tremor, makes it feel like having a already have a very clear body of evidence: than laparoscopic, and a faster recovery nerves and blood vessels. reduction in temporary colorectal stoma superpower.” Mr Tom Routledge, Consultant head and neck (Trans Oral Robotic Surgery), time – in some cases achieving a reduction in Take for example, a patient with a tumour reversal and head and neck reconstruction. Thoracic Surgeon. 4 5 FEATURE FEATURE Pictured above: Mr Said Abisi, In the last five to ten years, we’ve seen a surge and level of complexity of thoracoabdominal custom-made stents with accurately placed used during surgery – it’s in the planning Consultant Vascular Surgeon in endovascular procedures due to advances aortic aneurysm repair. branches or fenestrations, to provide blood of the procedure. “It’s vital to calculate for in devices, specialist endografts known as Complex branched and fenestrated supply to organs within the vicinity of all variables. Accuracy through meticulous custom made stents and increasingly new aortic repair technology emerged a few thoracoabdominal and complex aneurysms. planning is essential, just 1mm can be the techniques in imaging and procedures. years ago and has now become more estab- In our last patient, surgeons used the image difference between a procedure going Many of our consultants work at Guy’s and lished, and the first option in appropriately fusion technology in the hybrid theatre, smoothly or not. All this means reducing the St Thomas’ NHS Foundation Trust, one of selected patients. Our surgeons are leading utilising the preoperative CT data to guide the risk of complications and ultimately faster the largest vascular centres of excellence international experts in this field.
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