Retired 62-year-old patient Paul Buxton from Gibraltar made history. He became the first person in the world to have prostate removal surgery performed remotely, with precise robot-assisted technology. This unique procedure, the first of its kind in the world, was performed on 11 February by Professor Prokar Dasgupta. Surgeons demonstrated the cutting-edge Toumai Robotic System in a pilot clinical trial. This incredibly powerful system allows them to perform surgery on patients from great distances, demonstrating truly remarkable capabilities.
With prostate cancer spreading and no clear treatment options, Buxton found himself in a dark place. Shortly after Christmas, he found out that he would have to wait for his treatment through the NHS. When this new collaborative approach came around, he was ready to jump in. This alternative spared him a long wait and a journey to London for surgery. He called the decision a “no-brainer,” saying he was thrilled to be part of “medical history.”
As the owner of a multi-modal transportation firm, Buxton’s professional experience probably explain his interest in innovation and efficiency. He told us that he was glad to have been spared a three-week wait that would have followed more typical surgical routes. Looking back on his treatment, Buxton said he was made to feel “very well cared for” during surgery. Sure enough, afterward, he was reporting that he felt “fantastic.”
The successful operation represents a tremendous step forward in the field of remote surgery. This is particularly advantageous for patients living in regions with restricted availability of specialized healthcare services. The trial is expected to proceed with a second patient. The 52-year-old man, whose name has not been released, was to have the surgery on March 4 in Gibraltar.
Originally from Burnham-on-Sea in Somerset, Buxton moved to Gibraltar four decades ago. His participation in this trial puts him at the forefront of efforts to demonstrate how remote surgeries can revolutionize specialized cancer treatment. It highlights the need for more dynamic healthcare solutions that can better support patient outcomes.

