
Surgeon and urologist Dr.
Michael J. Metcalfe had a
sinking feeling every time he
presented patients with a di-
lemma: they could either un-
dergo surgery close to home
but face higher risks, or trav-
el to Vancouver – or even the
U.S. – and endure longer wait
times but benefit from safer,
robot-assisted procedures.
“Every time I had that con-
versation, I just had knots in
my stomach. It didn’t feel right
always to have to put that de-
cision on patients.”
Coming from a family of
urologists, Metcalfe was
surprisingly close to robotic
surgery early on in his career:
his mother, while leading a
hospital foundation in Ed-
monton, helped raise money
for robotic equipment while
he pushed through medical
school. Later at MD Anderson
Cancer Center in Houston, he
sub-specialized in urological
oncology and robotic surgery.
He’d seen firsthand how
robotics improves accuracy,
visualization, reproducibility,
and puts less demand on the
health-care system.
So, while working in Victo-
ria – and knowing that open
surgery had made little prog-
ress in 20 years – he joined Dr.
McCracken and Dr. McAuley
to spearhead a mission to get
robotics to the region.
He got connected with Avery
Brohman, CEO of the Victoria
Hospital Foundation, and it
was a success. The foundation
raised $17 million, launched
the Island’s first surgical ro-
botics program out of Royal
Jubilee Hospital, and on Feb.
3, the da Vinci surgical robot
assisted in its first surgery.
Now, the foundation is in
phase 2, raising money for two
new surgical robots at Victoria
General Hospital: a da Vinci,
the same as what’s currently in
place at Royal Jubilee Hospi-
tal (RJH), and a neuro-robot
which will help treat brain and
spine disorders.
Metcalfe says it’s been great
having the da Vinci at RJH,
but due to its success, it’s in
very high demand. “Now we’re
all squabbling over time, and
I’m having to make a decision
on which patient deserves the
robot and which can wait,” he
said.
The campaign’s new aim is
to raise $21 million and put
Victoria on the map as one of
the few centres in Canada with
this advanced technology.
The draw is the benefits: for
the neuro-robot, Mazor X, one
study found a nearly six times
lower risk of surgical compli-
cations, and clinical studies
show typically above 98 per
cent accuracy for brain and
spine procedures.
The da Vinci surgical robot
would expand minimally in-
vasive care across gynecology,
pediatrics and general surgery.
It would also help high-risk
patients such as Gerald Ker-
sten, who was recently diag-
nosed with prostate cancer and
underwent robotic surgery in
the summer.
Kersten was a perfect candi-
date: with a rare blood-clotting
disorder, open surgery can be
incredibly dangerous for him.
His blood thinners mean he
runs the risk of bleeding too
much; if he goes off them, he
faces the risk of embolisms,
strokes or heart attacks.
What makes the da Vinci-as-
sisted surgery so much safer
is it works through “tiny little
half-inch stab wounds” rather
than a large incision, Kersten
explained. Once he understood
how it worked, there was no
second-guessing on his part
about whether or not to go
through with it.
What was additionally ben-
eficial was the quick recovery
time. “Patients are getting back
to their lives quicker, better,”
said Dr. Metcalfe.
Prior to surgery, Kersten, an
orthodontist, worried about
how long his recovery would
take and when he would return
to work and exercise. After the
robotics-assisted surgery, he
was back seeing his patients
within 10 days, and two weeks
later, he was on his bike. In six
weeks, he was cycling on his
dream trip to Italy.
“It’s amazing, because in
most cases, it would have
been six to eight weeks before I
could have gone back to work,”
he said. “I think most people
are surprised at how fast I was
back on my feet.”
These advancements in
Victoria are coming at a time
when cancer cases are project-
ed to rise – BC Cancer says
the demand for cancer care in
B.C. is expected to rise by 60
per cent in the next decade.
“Statistically, with our aging
population and people living
longer, the chances of someone
escaping some sort of surgery
later in their life is smaller than
it used to be,” Kersten said.
“And if it can be robotically
done, they’re going to be much
better off.”
Goldstream Gazette www.goldstreamgazette.comA26 Wednesday, December 10, 2025
Robotic surgery has Victoria man back on his bike in 2 weeks
Sam Duerksen
Gerald Kersten (left) underwent robotics-assisted surgery with Dr.
Michael J Metcalfe (far right) this summer. Here, they stand at the Visions
gala where donors raised over $3.6M to bring robotics to the Island.
(Courtesy Victoria Hospitals Foundation)
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