Published: 06 March 2026
The English Chronicle Desk
The English Chronicle Online
A surgeon in London has successfully operated on a prostate cancer patient more than 1,500 miles away in Gibraltar, in the first UK remote robotic surgery .
Professor Prokar Dasgupta, who leads The London Clinic’s Robotic Centre of Excellence, controlled the arms of a robot using a console and 3D camera system, with a delay of only 0.06 seconds between his movements in London and the surgical tools in Gibraltar .
Patient Paul Buxton, 62, who is originally from Burnham-On-Sea in Somerset but moved to Gibraltar 40 years ago, said he was feeling “fantastic” just four days after the operation .
The father-of-three received a shock diagnosis of prostate cancer after Christmas and had expected to join the NHS waiting list for treatment in England . Instead, he became the first person to undergo the pioneering telesurgery procedure on February 11 .
Speaking after the operation, Mr Buxton said it was a “no-brainer” to be involved and he was happy to be the “guinea pig” .
“A lot of people actually said to me: ‘You’re not going to do it, are you?'” he told the Press Association. “I thought, ‘I’m giving something back here’ .”
A football fan, he added: “I love football — we’ve literally gone from being in the Championship to the Champions League as far as surgeons are concerned” .
The only hospital in Gibraltar is St Bernard’s at Europort. Patients with more complex problems usually have to travel further afield, including to the UK for those needing NHS care .
“If I hadn’t gone for the telesurgery in Gibraltar, then I would have had to have flown to London, I would have had to go on the NHS waiting list, get the procedure done and I would have probably been in London for three weeks,” Mr Buxton explained .
“So I thought: ‘this is a no-brainer’. And it is pioneering for Gibraltar, because you don’t need to leave Gibraltar” .
The console in the UK was connected to the robot in Gibraltar via fibre optics, with a backup 5G connection . A team on the ground in Gibraltar was standing ready to take over as a precaution in case the connection dropped .
The London Clinic and Gibraltar Health Authority collaborated on the project, and the Toumai Robotic System, made by Microport, was used to perform the operation .
Mr Buxton was the first of two test cases. The first official surgery took place on Wednesday March 4, when Professor Dasgupta performed another prostatectomy — a surgical removal of the prostate — on an unnamed 52-year-old man, also in Gibraltar .
Speaking after that procedure, Professor Dasgupta told the Press Association: “This is a historic moment — the first telesurgery procedure from The London Clinic to Gibraltar, 2,400 kilometres away. Unbelievable” .
“It went very well. We used a robot and a very specialised connection between London to Gibraltar didn’t fail at all. The time delay between the two sides fools my brain into thinking I’m in Gibraltar” .
The professor of urology said it was “almost as if I was there” when operating on the patient, describing the procedure as a “milestone” .
He added: “This is very good news for patients in Gibraltar and other remote areas. I think it is very, very exciting, the humanitarian benefit is going to be significant” .
Professor Dasgupta said that patients in remote areas do not always have access to the best healthcare . The remote robotic surgery means that patients can be saved the “vast expense and inconvenience” of travelling for care, he added .
“This gives us the opportunity to treat patients in remote areas and smaller communities by literally being able to take the best surgeon anywhere,” he said. “The technology now exists to provide this benefit to patients” .
Al Russell, chief executive at The London Clinic, said: “The London Clinic is proud to be part of medical history and we have a strong reputation for medical firsts. We hope more patients will be able to benefit from this incredible medical breakthrough” .
Gibraltar minister for health, Gemma Arias-Vasquez, added: “This is a landmark moment for the Gibraltar Health Authority and for our patients. To deliver a complex procedure in Gibraltar with the operating surgeon based in London shows how technology, investment and the expertise of our clinicians are transforming healthcare” .
Professor Dasgupta will perform the procedure again on March 14, which will be live-streamed to 20,000 world-leading urological surgeons at the European Association of Urology congress in London .
The NHS is expanding the use of robotic-assisted surgery and plans to increase the number of procedures performed annually from 70,000 to half a million over the next decade .


























































































