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Richard Malthaner

Richard Adam Malthaner, M.D., MSc, FRCSC, FACS

London Health Sciences Centre
800 Commissioners Road East
Suite E2-124
London, ON  N6A 5W9
1 519 667 6835
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Surgeon - Cardiothoracic


University of Toronto (B.Sc. 1981)
University of Toronto (M.D. 1985)
Toronto General Hospital Surgical Intern (1985-1986)
George Washington University General Surgery Residency (1986-1992)
University of Toronto Thoracic Surgery Residency (1992-1994)
The University of Western Ontario (M.Sc. 1999 Epidemiology and Biostatistics)
Assistant Professor of Surgery, The University of Western Ontario (1995)
Associate Professor of Surgery, The University of Western Ontario (2000)
Associate Professor, Deparment of Epidemiology and Biostatistics (2000)
Associate Professor, Division of Surgical Oncology (2000)
Professor, Division of Surgical Oncology (2010)
Professor of Surgery, The University of Western Ontario (2010)
Professor, Deparment of Epidemiology and Biostatisitics (2010)

Other Interests

Minimally invasive robot assisted thoracic surgery
Surgical Outcomes Research
Lung Volume Reduction Surgery
Systematic Reviews
Lung Cancer
Robotic Thoracic Surgery
Esophageal Cancer
Gastroesophageal Reflux


Dr. Malthaner’s research is focused on translating minimally invasive robot assisted technologies developed at CSTAR into clinical practice.  One of the most promising treatment options is a minimally invasive treatment that involves the direct placement of therapeutic agents into lung cancers via robotic assistance.  This innovative treatment avoids major surgery, systemic chemotherapy, and conventional radiation, and allows for the precise, consistent and safe placement of therapeutic agents. The research is focused on the development of a small, low-cost, safe and versatile minimally invasive robot assisted system for tumour ablation therapies (MIRATAT). This system incorporates robotic arms, electromagnetic navigation, tactile imaging and real-time ultrasound tumour localization to allow accurate placement of delivery probes through a master-slave setup. Previous work at CSTAR has enabled his team to develop a lung tumour model for ultrasound image guidance; a three-dimensional minimally invasive surgical ultrasound for lung tumour imaging; an endoscopic device to locate tumours by palpation; a new device for robotic brachytherapy seed insertion; and electromagnetic needle guidance software.  Future work involves the building of our own robotic system for lung cancer therapy and testing the MIRATAT system using new modalities such as radiosensitizers, lasers, radiofrequency ablation, microwave therapy, cryotherapy, and gene therapy. With the hope of translating this research into the world’s first MIRATAT clinical procedure, this project represents renewed hope for the thousands of lung cancer patients who die needlessly each and every year.

Notable Achievements
Dr. Malthaner’s achievements include performing many of Canada’s first robotic-assisted procedures, which include resection of a lung cancer, apical bullectomy for a collapsed lung, and minimally invasive esophagectomy for esophageal cancer. Notably, he also performed the world’s first robot assisted lung volume reduction for emphysema.  Dr. Malthaner is currently the only clinician worldwide to have used 3D ultrasound-guided thoracoscopic techniques to resect lung cancers, and also is a pioneer in the field of thoracic telementoring. He is a recipient of research grants from the Ontario Thoracic Society, London Health Sciences Centre, the Canadian Foundation for Innovation, Ontario Research and Development Challenge Fund and the Canadian Institute of Health Research.

Additional Educational Information

1994 - 1999 MSc, The University of Western Ontario, Epidemiology and Biostatistics, London, Ontario, Canada
1981 - 1985 MD, The University of Toronto, Medicine, Postgraduate, Medicine, Toronto, Ontario, Canada
1977 - 1981 BSc, The University of Toronto, Arts and Science, Undergraduate, Life Sciences with High Distinction, Toronto, Ontario, Canada
1974 - 1977 Honors Diploma, Georges Vanier Secondary School, Education, Diploma, Toronto, Ontario, Canada

Practice Areas

  • Thoracic
  • Robotic
  • VATS
  • Thoracic
  • Esophagus
  • Cancer
  • Professional Affairs