Photo of Bradley C. Leibovich, M.D.

    Bradley C. Leibovich, M.D.

    CREATING TODAY, what will change everything tomorrow.

    PRECISION AND INNOVATION IMPROVE SURGERIES FOR RENAL, TESTICULAR CANCERS

    Bradley C. Leibovich, M.D.

    Urologic Oncologist, Medical Director of the Center for Digital Health

    Rochester, Minnesota

    Part of the reason I like to work on my cars, my bike, my van is I enjoy tinkering. The instrument as it came from the company was okay, but it wasn't good enough. But I think I would always wonder if there was anything left not perfect. So my first thought was, well, I'll design my own instrument. I have now dozens of pieces of operating room equipment that have been modified to my specifications. But the part of my job I really enjoy is to work in an institution like this where everybody's united around doing whatever we can for each and every patient, and thinking with the team about not what the incremental change will be, but what will be the revolutionary, the truly transformative changes, not in five or 10 years, but beyond. I love what I do because of that.

    I never wanted to encounter a patient and not know the right treatment. I always wanted to provide hope and an answer.

    When Dr. Brad Leibovich, one of the world’s top renal (kidney) and testicular cancer surgeons, is asked about his specialties, it’s clear how much his patients motivate him to excel. “I want to be the person in the operating room who is incredibly focused on my area of expertise so that I can offer the very best to each patient.”

    A spirit of continuous improvement and innovation helped Dr. Leibovich, Professor of Urology, become a leading expert in kidney and testicular cancer. Narrowing his focus on two areas of concentration, Dr. Leibovich says, enables him to provide the best possible care. “I never wanted to encounter a patient and not know the right treatment,” he says, “I always wanted to provide hope and an answer.”

    Dr. Leibovich provides the highest standard of care possible with his calm, levelheaded demeanor. “I think television dramatizes medicine as a profession full of adrenaline,” he says. “The last thing anybody wants is an amped-up surgeon. The more calmness I can bring to my work environment, the better I can help people.”

    For Dr. Leibovich, every detail can affect a patient’s outcome, so if something is “good enough,” there is room for him to improve it until perfect. “When I started doing partial nephrectomies (removing a tumor from the kidney and leaving the healthy kidney behind), I needed to block the blood flow to and from the kidney,” he says. But he noticed the instrument he was using, a vascular clamp, was not designed ideally and had the potential to damage the kidney in this application.

    Photo of...
    Photo of...

    “Anywhere else in the world you’d be out of luck,” he says. Dr. Leibovich turned to a highly specialized team within Mayo Clinic’s Biomedical Engineering Department, who worked to modify the surgical tool to his exact specifications. “It makes the delicate operation much easier for me and safer for the patient,” he says. “When I explain this to colleagues at other centers, they’re flabbergasted. Nobody else has access to engineers who can modify a tool to their specifications so they can perform an operation better.”

    Dr. Leibovich now has dozens of personalized pieces of operating equipment. These tools also give him an advantage in performing testicular cancer surgery, an area he enjoys because his precise approach can have inspiring results. “The patients I see are by and large young men, and when done right, I can give them a normal quality of life and a normal lifespan.” Dr. Leibovich was also one of the first in urology to use techniques that can greatly reduce pain after urology surgery and allow patients to go home sooner, so they can recuperate in familiar surroundings.

    Need care?

    Find a specialist at our Minnesota, Arizona, and Florida sites.

    Another tool that has made a tremendous difference for Dr. Leibovich is the 3D printer. Using the patient’s imaging, the printer generates an exact three-dimensional replica of the area on which the surgery will be performed. “This was proposed to me by a friend in radiology and honestly I thought it would make a great paperweight,” he says. “But what I found was the ability to not just see it in three dimensions, but to actually rotate it in your hands, feel it with your fingers…that’s special and different. And I realized how wrong I had been.”

    Photo of...
    Photo of...

    Dr. Leibovich now brings the 3D models into the operating room to enable his entire team to visualize the procedure. During surgery, he might ask an assistant to hold it up so he can see what they’re encountering in the patient. “Afterwards,” he says, “We have patients take the models home and proudly display them. Each model demonstrates a story of how far they’ve come.”

    “It’s really a story about collaboration,” he says. “A radiologist suggested it and we started utilizing it in urology. Now many departments use the 3D models to plan their surgeries,” he adds. “It simply allows me to do my job more effectively and be safer for the patient. It also allows us to educate the patient and their family in ways we never could before.”

    Collaboration is important for Dr. Leibovich. “The ability to have this back-and-forth flow of knowledge with surgeons from other disciplines and different specialties has greatly impacted my day-to-day work,” he says. “I have access to people who think on a different level and comparing notes invariably leads to breakthroughs.”

    Photo of...
    I have access to people who think on a different level and comparing notes invariably leads to breakthroughs.

    Dr. Leibovich has seen a lot of change since coming to Mayo Clinic in 1995. As the medical director for the Center for Digital Health, he has a huge team that is focused not only on the next few years but, based on data analytics and access to information on a scale not previously possible, what will the future look like. “Imagine a world before Uber, before Amazon. Medicine is going to evolve in a way that will make those transformations seem minor.”

    When asked why he came to Mayo Clinic, Dr. Leibovich’s eyes light up. “We get levels of support not seen anywhere else in medicine. I can focus on what’s best for my patients. I can focus on the research I need to do. I can focus on promoting testicular cancer screening. I can focus on the administrative work to develop the Center for Digital Health. Everything that distracts physicians elsewhere, I don’t have to worry about.”

    Photo of...

    And focusing on the patient sitting in front of him is what Dr. Leibovich loves best. “I don’t have a generic approach. I try to provide answers that will resonate with each individual,” he says. Often his patients have similar questions. Can I be cured? What impact is this going to have? Will I have a normal quality of life? “Whatever the question, I try to make sure they have hope, that they have an understanding there’s always something we can do to make things better,” he adds. “Thankfully, with what I chose to do for a career, the majority of the answers are, yes, we can cure you, and yes, we are going to restore or preserve your quality of life in the process.”

    “I love what I do. I get to cure people of renal and testicular cancer. And those I can’t, I can often make much better and extend their lives significantly. I get to work with amazing people who are incredibly aligned with the fact that all they want to do is cure these patients. All they want to do is give somebody hope. All they want to do is make life better for every patient,” he says, reflecting on his time at Mayo Clinic. “Who wouldn’t want that job?”

    “The way we work together as a team, the way Mayo Clinic supports those who care for patients, hasn’t changed in over 150 years, it’s what kept me here for all this time.”

    The way we work together as a team, the way Mayo Clinic supports those who care for patients, hasn’t changed in over 150 years, it’s what kept me here for all this time.”

    Bradley C. Leibovich, M.D.

    Dr. Brad Leibovich is a Urologic Oncologist and is the David C. Utz, M.D., Professor of Urology at Mayo Clinic College of Medicine and Science. He has worked at Mayo Clinic since 1995 and regularly performs some of the most complex surgeries in his field. His areas of clinical and research focus include renal cancers and testicular cancer.

    Learn more about Dr. Leibovich
    Photo of...
    Photo of...

    Kidney cancer

    Kidney cancer begins in the kidneys, which are two bean-shaped organs, each about the size of your fist, located on each side of your spine.

    Learn more about kidney cancer
    Photo of...

    Testicular cancer

    Testicular cancer is a growth of cells that starts in the testicles, and isn’t a common type of cancer. It can happen at any age, but it happens most often between the ages of 15 and 45.

    Learn more about testicular cancer
    Photo of...

    Understanding nephrectomies

    Nephrectomy is a surgical procedure to remove all or part of a kidney.

    Learn more to understand nephrectomies
    Photo of...

    Center for Digital Health

    Innovation in health care is being driven by technology and data. At Mayo Clinic, the Center for Digital Health is the hub for this digital transformation.

    Learn more about the Mayo Clinic Center for Digital Health
    Photo of...

    Department of Urology

    Mayo Clinic's premier urology practice excels in diagnosing and treating problems involving the male and female urinary tract and the male reproductive organs.

    Learn more about the Department of Urology
    Photo of...

    Department of Surgery

    Mayo Clinic is one of the largest and most experienced surgical practices in the world. Mayo has more than 300 surgeons and 139 operating rooms among its three U.S. locations.

    Learn more about the Department of Surgery

    Meet the physicians leading the defining moments of discovery.

    The innovations that change the very definition of possible are happening right now — right here — at Mayo Clinic. Get to know the physicians and dedicated teams of people who are working to heal the once impossible with every medical breakthrough.

    Stay Connected.

    Sign up for videos, articles and insights from Mayo Clinic physicians and teams.

    To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail.