Mr Thilagarajah has been Clinical Lead of Robotic Services at Mid Essex Health Services NHS Trust since 2008. He is one of a small number of proctor trainers in kidney robotic surgery in the UK preforming a large number of specialist kidney operations for both NHS and private patients.
Robotic surgery is an advancement of laparoscopic "keyhole" surgery, which has been developed over the last few years. Normal keyhole surgery enables the trained surgeon to access organs within the body such as the kidney and prostate using long hand-held instruments to operate within the body with very small incisions. This type of surgery has proved very successful over the last 20 years and led to excellent outcomes in term of cancer removal and patient recovery.
The da Vinci® Surgical System (Intuitive Surgical, Inc.) enhances laparoscopic surgical capabilities by providing the surgeon with the ability to operate at a high magnification (10-15x) with great precision allowing micro dissection within the body. EndoWrist® instruments allow full wrist movements at this microscopic level which is not possible with normal laparoscopic surgery. The da Vinci® robotic system is now well recognised as a step forward in the treatment of surgical patients across a wide spectrum of specialities, including urology.