One would think it’s not easy to be humble, given all the attention to East Carolina University’s Brody School of Medicine and Vidant Medical Center (formerly Pitt County Memorial Hospital) for the past 13 years. Yet humble is what comes across when speaking with Dr. L. Wiley Nifong about the daVinci minimally-invasive robotic surgery system and the inter-continental training programs that are in place.
“Our approach is definitely one nurtured through a team environment. Each member of our staff continually works to make the surgery process as seamless as possible, not only for our surgeons, but the ones we train from all over the world,” Dr. Nifong says. Key training personnel include the efforts of Susan Bewick, the director of the robotic training lab, Rebecca Merrick Gilbird, Dr. Nifong’s executive assistant and the business services coordinator for the Robotic Training Center, and Jerome Fuller, Director of Telecommunications Networks & Special projects at the East Carolina Heart Institute.
“We stress the importance of a surgeon-led environment in the operating room, where the surgeon leads the entire surgical team through the surgical procedure. Our daVinci courses train not only the surgeons, but key surgical team members, including anesthesiologists, nurse anesthetists, nurse practitioners, perfusionists, registered nurses, physicians assistants – any medical staff team member that is deemed appropriate for training,” Nifong continues.
Dr. Nifong is the director of surgical robotics and the director of surgical research, while also serving as an associate professor of cardiothoracic surgery at the East Carolina Heart Institute. During his tenure, he has been involved with the training of over 700 surgical teams in the use of minimally invasive and robotic surgery, both on-site in Greenville, and at hospitals throughout the world.
“In a few days, we will welcome surgical associates from Johns Hopkins in Baltimore and others from Sydney, Australia to train in our robotics center. In fact, our calendar for training is booked for the entire month of December, save for Christmas day,” he said.
A portion of the fourth floor of the East Carolina Heart Institute is now dedicated to the Robotic Surgery Center training and education. Although the fourth floor will be utilized during the month of December, the gala opening is planned for February, and a separate article on this will be highlighted in the Spring edition of the newsletter.
Dr. Randolph Chitwood, Jr. performed the nation’s first total robotically assisted mitral valve repair surgery in 2000. To date, he has performed over 800 robotic-assisted mitral value repairs. Currently serving as director of the East Carolina Heart Institute, Dr. Chitwood was the chief investigator of the daVinci system for the federal Food and Drug Administration (FDA) clinical trials in robotic surgery. In addition, Dr. Chitwood serves as professor and senior associate vice chancellor for Health Sciences at East Carolina University.
“The East Carolina Heart Institute is the only cardiac training center in the world for minimally-invasive robotic surgery using the daVinci system. While the surgery was first developed here for cardiac surgery, our lab has grown to include training for other minimally-invasive surgeries, such as gynecology, urology and general surgery,” Dr. Chitwood states.
As early as 1994, Chitwood began finessing his method to improve minimally- invasive cardiac surgery. In 1999 he paired his knowledge with Intuitive Surgical of Sunnyvale, CA to assist in the development of the daVinci Surgical System. In 2000, Chitwood and Nifong used the daVinci to perform the first complete, robotic-assisted mitral value repair in North America, as part of the FDA-approved trial. Later in 2002, the FDA approved the robotic-assisted mitral valve repair procedure. The procedure has now been completed thousands of times throughout the world.
Dr. Nifong explains, “More cases are done annually in the United States, with the second most volume being completed in Asia and Europe. To date, we have trained 859 surgeons and 511 Team members for a total of 1,370 individuals. Countries include Australia, Thailand, Taiwan, Canada, Singapore, Brazil, Mexico, Puerto Rico, Italy, Ireland, Japan, South Korea, Belgium and Russia. The process normally begins by the interested party contacting Intuitive, the daVinci manufacturer, or us. We have a substantial online screening process that must be completed before the process can even be started.”
“We are now in the fourth generation of the daVinci system. The new system incorporates two consoles with the student at one, and the trainer at the other. This allows both to see a three-dimensional view when operating,” he continues.
Dr. Chitwood emphasizes, “Even though we do international training, the primary service was begun, and continues to be, for the people of Eastern North Carolina.”
“As our training lab continues to grow with the fourth floor expansion at the Institute, we look forward to training more and more medical professionals throughout the world. The initial training begins with the integration of the team approach. After 25 surgeries are completed, the surgeons then visit East Carolina again for more advanced training. Oftentimes, we travel to the countries involved to assist or do additional focused-training, or proctoring, in their own operating rooms,” Nifong explains.
The training is accomplished with both Intuitive-trained physicians and the ECU staff. We offer mini-fellowships, an international summit and other educational opportunities for the robotic training, and for follow-up training with new educational presentation opportunities.
“Whether our world-partners travel to us, or we to them, we recognize our responsibility to provide the utmost in training and education to our medical counterparts, in order to advance the minimally-invasive surgical procedures throughout the world,” Nifong says.
The Institute is currently looking for a donor for naming rights to the fourth floor training facility. For more information, contact Dr. Chitwood or Dr. Nifong at 252-744-4822.
Pictured L-R: Dr. Nifong and Dr. Chitwood
>> Go To Website