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Lung Nodules & Lung Cancer
Robotic Surgery & Advanced Diagnostics, London

Same-day robotic bronchoscopy biopsy of hard-to-reach lung nodules — no surgical incision. Earliest-stage removal by keyhole robotic surgery. Combined surgical and oncological treatment for advanced cancer — with curative intent where others have said no. MDT care for every cancer patient.

Robotic Navigational
Bronchoscopy — Same-Day Biopsy

Robotic navigational bronchoscopy is one of the most advanced diagnostic technologies available in UK thoracic medicine. A robotic catheter uses a detailed, real-time 3D map of your lung — built from your CT scan — to navigate precisely to lung nodules that are too small, too deep, or too peripheral to be reached by conventional bronchoscopy.

A tissue sample is obtained from the target nodule without any surgical incision. The procedure is performed as a day-case under sedation or light anaesthesia. Results guide all further treatment decisions — typically within days rather than weeks of surveillance.

Where biopsy confirms an early-stage lung cancer, onward robotic keyhole surgery can be planned and performed promptly — offering the best possible prognosis.

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High-Risk Nodule Features
  • Diameter greater than 6mm
  • Spiculated or irregular margins
  • Growth on surveillance CT
  • Part-solid or ground-glass appearance
  • Upper lobe location
"Told surgery isn't possible"?

For patients with advanced lung cancer who have been told by other specialists that surgery is not an option, I offer combined surgical and oncological treatment in collaboration with London's leading oncologists. Patients who have been declined elsewhere have gone on to receive treatment with genuinely curative intent.

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MDT Care

Every cancer patient is discussed at a formal Multidisciplinary Team meeting — bringing together thoracic surgeons, oncologists, radiologists, and pathologists to agree the best treatment plan for your individual case.

Questions About
Lung Nodules & Cancer

Below are the questions patients most commonly ask when referred with a lung nodule or lung cancer diagnosis. Please don't hesitate to raise anything further at your consultation.

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What happens if a lung nodule is found on my CT scan?
Not all lung nodules are cancer — the majority are benign. However, size, shape, and density on CT provide important clues about malignancy risk. Smaller, well-defined nodules often require only surveillance CT. Larger or higher-risk nodules warrant tissue biopsy, which can now be obtained via robotic bronchoscopy without surgical incision. I will review your CT scan and advise clearly on the appropriate next step.
How quickly can I get a biopsy result?
With robotic navigational bronchoscopy, the biopsy procedure is performed as a day-case. Results are typically available within a few days and are discussed with you promptly. This compares favourably with surveillance-based approaches, where months can pass without a definitive diagnosis.
What is the recovery from keyhole lung cancer surgery?
Most patients undergoing keyhole (VATS or robotic) lung resection spend a few days in hospital and return to normal daily activities within two to four weeks. This is significantly faster than traditional open surgery.
I have been told my lung cancer is too advanced for surgery. Can you help?
In some cases, yes. I work with London's leading oncologists to offer combined surgical and systemic treatment for patients with locally advanced lung cancer. Surgery following response to immunotherapy or chemotherapy can achieve genuinely curative outcomes in selected patients. Please contact me for a second opinion before accepting that surgery is not possible.
Do I need a GP referral to see you about a lung nodule?
No. Self-referrals are welcome for private consultations. Appointments are typically available within 2–3 days. If you have been told you have a lung nodule and are awaiting a specialist appointment on the NHS, you are welcome to self-refer for a private assessment.

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Appointments within 2–3 days. Self-referrals welcome. GP referral not required.

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Surgery at London Bridge Hospital and Lister Hospital Chelsea

020 7952 2882 · [email protected]

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