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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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The adoption of uniportal approach in Chile: the experience of a single surgical team from Valparaíso, Chile
Cristian González Collao
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Uniportal video-assisted thoracic surgery lobectomy using a novel perfused ex vivo simulation model
Ruben Avila, Pablo Achurra, Rodrigo Tejos, Julian Varas, María Solovera, Patricio Salas
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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 >>
Brief Report on Thoracic Surgery 
Troubleshooting of single port video-assisted thoracoscopic lung resection
Ching Feng Wu, Maria Delgado Roel, Alonso Oviedo Argueta, Sonia Raquelline Roque, Ching Yang Wu, Ming Ju Hsieh
Journal of Visualized Surgery  
2016 , 
2:
162  
Commentary on Gastrointestinal Surgery 
Endogastric resection of gastrointestinal stromal tumor
Fernando A. M. Herbella, Iuri Tamasauskas, Eduardo G. H. Moura
Journal of Visualized Surgery  
2016 , 
2:
161  
Case Report on Thoracic Surgery 
Uniportal right upper video-assisted thoracoscopic surgery lobectomy: safe and feasible
Valerio Perna, Juan A. Torrecilla, Angel F. Carvajal, Luís Carlos Mora, Orlando Gigirey, Paulo Cano, Silvia Perello, Rosa Diaz
Journal of Visualized Surgery  
2016 , 
2:
160  
Case Report on Colorectal Surgery 
Wide local excision of perianal Paget’s disease with gluteal flap reconstruction: an interdisciplinary approach
Daniel J. Borsuk, George Melich, Jeremy Sugrue, Jed Calata, Iris A. Seitz, John J. Park, Leela M. Prasad, Slawomir J. Marecik
Journal of Visualized Surgery  
2016 , 
2:
159  
Editorial on Gastrointestinal Surgery 
Current status of intracorporeal gastroduodenostomy and modified delta-shape anastomosis after distal gastrectomy for gastric cancer
Yoontak Lee, Chun Hai Tan, Do Joong Park
Journal of Visualized Surgery  
2016 , 
2:
158  
Brief Report on Subxiphoid Surgery 
Video-assisted thoracoscopic extended thymectomy using the subxiphoid approach
Hao Chen, Guobing Xu, Wei Zheng, Chun Chen
Journal of Visualized Surgery  
2016 , 
2:
157  
Review Article on Esophageal Surgery 
The benefits and limitations of robotic assisted transhiatal esophagectomy for esophageal cancer
Jonathan C. DeLong, Kaitlyn J. Kelly, Garth R. Jacobsen, Bryan J. Sandler, Santiago Horgan, Michael Bouvet
Journal of Visualized Surgery  
2016 , 
2:
156  
Teaching Uniportal VATS in Chile 
Uniportal video-assisted thoracic surgery lobectomy using a novel perfused ex vivo simulation model
Ruben Avila, Pablo Achurra, Rodrigo Tejos, Julian Varas, María Solovera, Patricio Salas
Journal of Visualized Surgery  
2016 , 
2:
155  
Review Article on Thoracic Surgery 
Uniportal video-assisted thoracoscopic anatomic segmentectomy for small-sized lung cancer
Guangsuo Wang, Zheng Wang, Xuefeng Sun, Tonghai Huang, Guanggui Ding
Journal of Visualized Surgery  
2016 , 
2:
154  
News 
We model excellence—highlights in the 96th American Association for Thoracic Surgery Annual Meeting
Skylar Gao
Journal of Visualized Surgery  
2016 , 
2:
153  
Correspondence 
A bird in the hand is worth two in the bush: the choice of localization technique for non-palpable solitary pulmonary nodule
Luca Bertolaccini, Andrea Viti, Alberto Terzi
Journal of Visualized Surgery  
2016 , 
2:
152  
Original Article on Esophageal Surgery 
Minimally invasive esophagectomy and thoraco-abdominal two-field lymph node dissection for thoracic esophageal squamous cell carcinoma—antegrade dissection of the thoracic esophagus
Wentao Fang, Chunyu Ji, Jian Feng, Weigang Zhao, Xuefei Zhang
Journal of Visualized Surgery  
2016 , 
2:
151  
Review Article on Thoracic Surgery 
Uniportal video-assisted thoracic surgery for complicated pulmonary resections
Ding-Pei Han, Jie Xiang, Run-Sen Jin, Yan-Xia Hu, He-Cheng Li
Journal of Visualized Surgery  
2016 , 
2:
150  
Review Article on Thoracic Surgery 
Single port video-assisted thoracoscopic thymectomy
Benedetta Bedetti, Pierfiorgio Solli, David Lawrence, Nikolaos Panagiotopoulos, Martin Hayward, Marco Scarci
Journal of Visualized Surgery  
2016 , 
2:
149  
Editorial on Colorectal Surgery 
Laparoscopic-assisted radical left hemicolectomy for colon cancer
Jeonghee Han, Byung Soh Min
Journal of Visualized Surgery  
2016 , 
2:
148