Leadership

  • A/Prof Laurence Harewood
  • A/Prof Nathan Lawrentschuk
  • Dr Jason Chuen
  • Dr Claire Campbell
  • Dr Nicholas Campbell
  • Dr Paul Kearns
  • Dr Greg Self
  • Dr Jamie Kearsley

Highlights

Epworth HealthCare performed the first robotic-assisted procedure in Australia in 2003, and now performs over 1000 robotic procedures per year. This revolutionary technology offers advanced key-hole surgery with 3D, high definition digital vision and wristed instruments, enabling a surgeon to perform complex surgery through only a small number of 5-10mm incisions. Robotic surgery is currently performed at Epworth in the following areas:

  • Cardiac surgery
  • Colorectal surgery
  • ENT
  • Gastric surgery
  • Gynaecology
  • Urology

Our performance

Prostate cancer is the most commonly diagnosed form of cancer and the second leading cause of male cancer deaths for Australian males. Men presenting with localised prostate cancer have numerous treatment options.

The Prostate Cancer Outcomes Registry (PCOR) was established at Monash University to monitor and allow benchmarking of quality of care by institutions and individual surgeons and radiation oncologists in the care of prostate cancer patients.

Epworth participates in the PCOR in order to monitor our quality of care. The PCOR monitors ten indicators of care. Many of these indicators allow comparison of hospital results with acceptable levels of care.

Results from Epworth Hospitals were consistently consistent equivalent to or better than the benchmark standard.

Surgical margin outcomes of Robotic Radical Prostatectomy are a good indicator of the quality of surgery. A positive margin is when cancer is up to the edge of where the prostate has been cut out. A positive surgical margin therefore may indicate that cancer has been left behind. The long term outcome for these patients is not as positive as when the surgical margin is negative. So, the lower the surgical margin the better.

Epworth hospitals consistently achieves a very low positive margin rate in all three categories of low, intermediate and high risk cancer. This reflected on the most recent PCOR reporting period. 

Two of the potential negative outcomes for Robotic Radical Prostatectomy for Robotic Radical Prostatectomy for Cancer of the Prostate are issues with urinary continence and erections post operatively. 

In all cases the outcomes of the Epworth Hospitals are either better than or at the average standard for continence.

In all cases the outcomes of the Epworth Hospitals are either better than or at the average standard for continence.

One of the major concerns after Radiation therapy for Prostate Cancer is an irradiation effect of the bowel (rectum). This can lead to bothersome bowel symptoms. 

All three Epworth hospitals carrying out radiation therapy achieved outcomes that are either better than or at the average standard.

Overall, Epworth Hospitals achieved a very high standard of outcome, a terrific indicator of the quality of care provided.

The chart shows a funnel of expected performance. Unit results are displayed as dots with the aim being to fall within the funnel. Further examination is required where a dot falls outside the funnel.

Activity

FY 2021

 

 

Services

Admissions

Bed days

Urology

13,113

20,073

Vascular surgery

2,203

9,607

Condition treated

Vascular

  • Abdominal aortic aneurysm
  • Acute limb ischaemia
  • Aortic dissection
  • Carotid stenosis
  • Peripheral arterial occlusive disease
  • Varicose veins

Urology

  • Benign prostate enlargement
  • Bladder cancer
  • Bladder dysfunction
  • Bladder stones
  • Erectile dysfunction
  • Kidney cancer
  • Kidney stone disease
  • Prostate cancer
  • Testicular cancer
  • Urinary incontinence

Services

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