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Surgical Documentary more


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
PDF HTML

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

Technology Advancements in Thoracic Surgery More >>
Robotic Surgery for Lung Resection More >>
VATS for Extended Lung Cancer Disease More >>
Review Article on Thoracic Surgery 
Beyond the limits, extreme minimally invasive surgery in invasive thymic tumours
Thirugnanam Agasthian
Journal of Visualized Surgery  
2017 , 
3:
58  
Review Article on Thoracic Surgery 
Surgical robot simulation with BBZ console
Francesco Bovo, Giacomo De Rossi, Francesco Visentin
Journal of Visualized Surgery  
2017 , 
3:
57  
Review Article on Thoracic Surgery 
Multiportal video-assisted thoracic surgery, uniportal video-assisted thoracic surgery and minimally invasive open chest surgery—selection criteria
William Guido Guerrero, Diego González-Rivas
Journal of Visualized Surgery  
2017 , 
3:
56  
Review Article on Robotic Surgery 
Transition from video-assisted thoracic surgery to robotic pulmonary surgery
Takashi Suda
Journal of Visualized Surgery  
2017 , 
3:
55  
Review Article on Thoracic Surgery 
Surgical and oncological outcomes of thoracoscopic thymectomy for thymoma
Makoto Odaka, You Tsukamoto, Takamasa Shibasaki, Shohei Mori, Hisatoshi Asano, Makoto Yamashita, Toshiaki Morikawa
Journal of Visualized Surgery  
2017 , 
3:
54  
Brief Report on Thoracic Surgery 
Technical means to improve image quality during thoracoscopic procedures
Dominique Gossot, Madalina Grigoroiu, Emmanuel Brian, Agathe Seguin-Givelet
Journal of Visualized Surgery  
2017 , 
3:
53  
Review Article on Robotic Surgery 
Catastrophes and complicated intraoperative events during robotic lung resection
Brian E. Louie
Journal of Visualized Surgery  
2017 , 
3:
52  
Case Report on Thoracic Surgery 
Intra-pericardial double sleeve uniportal video-assisted thoracoscopic surgery left upper lobectomy
Firas Abu Akar, Chenlu Yang, Lei Lin, Shi Jia Min, Lei Jiang
Journal of Visualized Surgery  
2017 , 
3:
51  
Teaching Uniportal in Athens 
The Athens uniportal video-assisted thoracic surgery masterclass—an ambitious kickstarter
Constantine Marios Soultanis, Diego Gonzalez Rivas, Konstantinos Konstantinidis, Konstantinos Siafakas
Journal of Visualized Surgery  
2017 , 
3:
50  
Teaching Uniportal VATS in Rome 
Teaching uniportal video-assisted thoracic surgery in Rome
Elisa Meacci, Dania Nachira, Maria Teresa Congedo, Stefano Margaritora
Journal of Visualized Surgery  
2017 , 
3:
49  
Case Report on Thoracic Surgery 
Non-intubated uniportal left-lower lobe upper segmentectomy (S6)
Carlos Galvez, Jose Navarro-Martinez, Sergio Bolufer, Julio Sesma, Francisco Lirio, Maria Galiana, Maria Jesus Rivera
Journal of Visualized Surgery  
2017 , 
3:
48  
Review Article on Thoracic Surgery 
Left video-assisted thoracic surgery thymectomy
Anee Sophia Jackson, Chris Devulapalli, Alexa Lowe, Abigael Bragado, Lorenzo De Marchi, M. Blair Marshall
Journal of Visualized Surgery  
2017 , 
3:
47  
Original Article on Gastrointestinal Surgery 
Totally laparoscopic total gastrectomy for locally advanced middle-upper-third gastric cancer
Mi Lin, Chang-Ming Huang, Chao-Hui Zheng, Ping Li, Jian-Wei Xie, Qi-Yue Chen, Ze-Ning Huang
Journal of Visualized Surgery  
2017 , 
3:
46  
Brief Report on Thoracic Surgery 
New stapling devices in robotic surgery
Domenico Galetta, Monica Casiraghi, Alessandro Pardolesi, Alessandro Borri, Lorenzo Spaggiari
Journal of Visualized Surgery  
2017 , 
3:
45  
Review Article on Thoracic Surgery 
Robotics in general thoracic surgery procedures
M. Jawad Latif, Bernard J. Park
Journal of Visualized Surgery  
2017 , 
3:
44