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Figure 2 Dr. Diego Gonzalez Rivas is introducing his experience in uniportal VATS. 

The movie was directed by Daniel Lopez, and it was recorded in different countries such as Emirates, UK, Poland, Spain, Russia or China. In the movie we can see how Dr Gonzalez Rivas travel around the world teaching the uniportal VATS technique. Dani Lopez met Rivas in 2010, a few months after his ex-wife died of lung cancer at 29. Lopez try to show patients that the option of surgery exists and that it could give some of them a second chance at life. During the procedure, one very small (3cm to 4cm) incision is made, instead of more conventional video-assisted thoracic surgery (VATS) or traditional open surgery. In comparison to VATS, which utilizes multiple incisions, Rivas’ method shows that less really is more. There is less pain, less recovery time and less scarring for patients with no sacrifice in quality. The movie also shows the story of a patient operated by this minimally invasive technique and with no intubation, representing the less invasive approach to operate lung cancer. The cultural aspects of each country are included as a highlighted content of the movie.

Standard three-port VATS techniques use a cross-body approach, as ports are spread in a triangular configuration. Surgeons then work within these angles to position their instruments to perform lung resections. Unfortunately this configuration sacrifices the visibility made available with traditional techniques, which use one very large (10 to 20 cm) incision. Three-port approaches also force surgeons into anatomically uncomfortable positions for the duration of the surgery. Surgeons are forced to contort their bodies and adopt an uncomfortably wide stance to be able to easily manipulate all of the instruments simultaneously. These challenges led Rivas to conceive of and develop single-port surgery for major pulmonary resections. To the surprise of the thoracic surgery community, the single-port approach quells many of the difficulties. By inserting all of the instruments in the same port of the camera, surgeons gain visibility and maneuverability without sacrificing ergonomics.

The movie could be enjoyed at:

Opinions and comments from world experts on the journey: https://amepc.wistia.com/medias/gy9keirars.

See more of Dr. Diego Gonzalez Rivas' Uniportal VATS teaching sharing as following:

Teaching Uniportal VATS in South Africa
Uniportal lobectomy in Africa: a beginning
Ivan Schewitz
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Teaching Uniportal VATS in Coruna
Teaching uniportal VATS in Coruña
Kristin Eckland, Diego Gonzalez-Rivas
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Teaching Uniportal in Lithuania
Nonintubated uniportal video-assisted thoracic surgery course—live surgery
Rasa Karalevičiūtė, Diego Gonzalez-Rivas
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Teaching Uniportal VATS in Philippines
Dr. Diego Gonzalez Rivas’ trip to the Philippines in November 2015 
Antonio B. Ramos 
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Teaching Uniportal VATS in Jerusalem 
Management of bleeding from an abnormally located S6 arterial branch in a common origin with S2 branch during live surgery
Firas Abu Akar, Diego Gonzalez-Rivas, Daniel Fink
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Teaching Uniportal VATS in Egypt
Right pneumonectomy for carcinoid tumor extending through the intermediate bronchus and the interlobar artery
Hussein Elkhayat, Diego Gonzalez-Rivas
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Teaching Uniportal VATS in Costa Rica 
The evolution of uniportal video assisted thoracic surgery in Costa Rica
William Guido Guerrero, Diego Gonzalez-Rivas, Yang Yang, Wentao Li
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Teaching Uniportal VATS in Jordan 
Uniportal lobectomy in Jordan—the journey continues
Hamdi Abu Ali, Khaled Al-Asad, Baha Shihadeh, Nada AbdulBaqi, Osama Al-Bdour, Sakher Alkhaderi, Diego Gonzalez-Rivas
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Teaching Uniportal VATS in Oslo Norway 
Transition from thoracotomy to uniportal video-assisted thoracic surgery in non-small cell lung cancer—the Oslo experience
Henrik Aamodt
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Teaching Uniportal VATS in Chile
Single port training in Latin-America—first uniportal video-assisted thoracoscopic surgery masterclass in Santiago, Chile
José Miguel Clavero
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Teaching Uniportal VATS in Mexico 
Uniportal video-assisted thoracic surgery course in Mexico—first experience
Erick Céspedes-Meneses, José Manuel Echavarri-Arana, Alejandro Tort-Martínez, Enrique Guzmán-de Alba, Joao Carlos das Neves-Pereira, Diego González-Rivas
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Teaching Uniportal VATS in Colombia  
First non-intubated uniportal video-assisted pulmonary lobectomy in America
Ricardo Buitrago, Adriana Serna, Diego González-Rivas, Rafael Beltrán, Carlos Mario Palacio, Pablo Parades, Julian Beltrán
PDF 
This is life—the journey of a pioneer surgeon on a new approach to thoracic Surgery More >>

Focused Issues more

Pancreatic Surgery More >>
Subxiphoid Surgery More >>
ATEP special edition of Journal of Visualized Surgery More >>
Teaching Uniportal VATS in Chile 
The adoption of uniportal approach in Chile: the experience of a single surgical team from Valparaíso, Chile
Cristian González Collao
Journal of Visualized Surgery  
2016 , 
2:
147  
Brief Report on Pancreatic Surgery 
Laparoscopic spleen preserving distal pancreatectomy
Ho-Seong Han, Yoo-Seok Yoon, Seong Uk Kwon, Jai Young Cho, YoungRok Choi, Jae Seong Jang
Journal of Visualized Surgery  
2016 , 
2:
146  
Original Article on Pancreatic Surgery 
Analysis of learning curve for laparoscopic pancreaticoduodenectomy
Chao Lu, Weiwei Jin, Yi-Ping Mou, Jiayu Zhou, Xiaowu Xu, Tao Xia, Renchao Zhang, Yucheng Zhou, Jiafei Yan, Chaojie Huang, Bin Zhang, Jingrui Wang
Journal of Visualized Surgery  
2016 , 
2:
145  
Teaching Uniportal VATS in Colombia 
First non-intubated uniportal video-assisted pulmonary lobectomy in America
Ricardo Buitrago, Adriana Serna, Diego González-Rivas, Rafael Beltrán, Carlos Mario Palacio, Pablo Parades, Julian Beltrán
Journal of Visualized Surgery  
2016 , 
2:
144  
Brief Report on Gastrointestinal Surgery 
How to identify the posterior boundary of No. 8a and the right side group of No. 9 lymph nodes?
Jun You, Qing-Qi Hong, Zheng-Jie Huang, Yong-Wen Li, Ling-Tao Lou, Qi Luo
Journal of Visualized Surgery  
2016 , 
2:
143  
Teaching Uniportal VATS in Mexico 
Uniportal video-assisted thoracic surgery course in Mexico—first experience
Erick Céspedes-Meneses, José Manuel Echavarri-Arana, Alejandro Tort-Martínez, Enrique Guzmán-de Alba, Joao Carlos das Neves-Pereira, Diego González-Rivas
Journal of Visualized Surgery  
2016 , 
2:
142  
Review Article on Pancreatic Surgery 
Laparoscopic distal pancreatectomy
Bulent Salman, Tonguc Utku Yilmaz, Kursat Dikmen, Mehmet Kaplan
Journal of Visualized Surgery  
2016 , 
2:
141  
Teaching Uniportal VATS in Chile 
Single port training in Latin-America—first uniportal video-assisted thoracoscopic surgery masterclass in Santiago, Chile
José Miguel Clavero
Journal of Visualized Surgery  
2016 , 
2:
140  
Review Article on Esophageal Surgery 
Robotic esophagectomy
Brett Broussard, John Evans, Benjamin Wei, Robert Cerfolio
Journal of Visualized Surgery  
2016 , 
2:
139  
Review Article on Pancreatic Surgery 
Minimally invasive central pancreatectomy and pancreatogastrostomy: current surgical technique and outcomes
Sean M. Ronnekleiv-Kelly, Ammar A. Javed, Matthew J. Weiss
Journal of Visualized Surgery  
2016 , 
2:
138  
Review Article on Pancreatic Surgery 
Staple-free robotic distal pancreatectomy and splenectomy
Daniel Galvez, Ammar Javed, Jin He
Journal of Visualized Surgery  
2016 , 
2:
137  
Review Article on Thoracic Surgery 
Robotic thymectomy
Benjamin Wei, Robert Cerfolio
Journal of Visualized Surgery  
2016 , 
2:
136  
Review Article on Subxiphoid Surgery 
The Shanghai Pulmonary Hospital subxiphoid approach for lobectomies
Giuseppe Aresu, Liang Wu, Lei Lin, Gening Jiang, Lei Jiang
Journal of Visualized Surgery  
2016 , 
2:
135  
Original Article on Esophageal Surgery 
Minimally invasive esophagectomy: Chinese experiences
Miao Lin, Yaxing Shen, Mingxiang Feng, Lijie Tan
Journal of Visualized Surgery  
2016 , 
2:
134  
Review Article on Cardiac Surgery 
Minimally invasive bilateral thoracoscopic maze
Dawn S. Hui, Richard Lee
Journal of Visualized Surgery  
2016 , 
2:
133