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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

VATS Esophagectomy More >>
Technology Advancements in Thoracic Surgery More >>
Robotic Surgery for Lung Resection More >>
Case Report on Thoracic Surgery 
Salvage video-assisted thoracoscopic lobectomy for isolated local relapse after stereotactic body radiotherapy for early stage non-small cell lung cancer: technical aspects and perioperative management
Masatsugu Hamaji, Toyofumi-Fengshi Chen-Yoshikawa, Yukinori Matsuo, Hideki Motoyama, Kyoko Hijiya, Toshi Menju, Akihiro Aoyam, Toshihiko Sato, Makoto Sonobe, Hiroshi Date
Journal of Visualized Surgery  
2017 , 
3:
86  
Review Article on Thoracic Surgery 
Video assisted thoracoscopic and open chest surgery in diagnosis and treatment of malignant pleural diseases
Periklis Perikleous, David A. Waller
Journal of Visualized Surgery  
2017 , 
3:
85  
Review Article on Thoracic Surgery 
VATS and open chest surgery in diagnosis and treatment of benign pleural diseases
Periklis Perikleous, Sridhar Rathinam, David A. Waller
Journal of Visualized Surgery  
2017 , 
3:
84  
Case Report on Thoracic Surgery 
Extended thymectomy by a cervical incision additional to bilateral VATS approach
Liang Xue, Xuguang Pang, Yongxing Zhang, Jianyong Ding
Journal of Visualized Surgery  
2017 , 
3:
83  
Surgical Techniques on Pancreatic Surgery 
Technical considerations for the fully robotic pancreaticoduodenectomy
Daniel Galvez, Rebecca Sorber, Ammar A. Javed, Jin He
Journal of Visualized Surgery  
2017 , 
3:
81  
Original Article 
Indocyanine green fluorescence-navigated thoracoscopic anatomical segmentectomy
Mingyon Mun, Sakae Okumura, Masayuki Nakao, Yosuke Matsuura, Ken Nakagawa
Journal of Visualized Surgery  
2017 , 
3:
80  
Review Article on Thoracic Surgery 
Three-dimensional video-assisted thoracic surgery for pulmonary resections: an update
Duilio Divisi, Mirko Barone, Roberto Crisci
Journal of Visualized Surgery  
2017 , 
3:
79  
Review Article on Thoracic Surgery 
Robotic assisted lobectomy for locally advanced lung cancer
Giulia Veronesi, Pierluigi Novellis, Orazio Difrancesco, Mark Dylewski
Journal of Visualized Surgery  
2017 , 
3:
78  
Teaching Uniportal VATS in Ecuador 
First uniportal video assisted thoracic surgery masterclass in Ecuador
John Barba-Pacheco, Gutenberg Navarro, Diego Gonzalez-Rivas, Fernando Polit, Pamela Wong, Fabrizio Nieto, Manuel Romero, Jaime Carrera, Jonathan Villacis, Martha J. Zambrano, Karina Bravo, Renee Velastegui, Freddy Rodríguez, Manuel Reyes, Silvia Cullacay, Ramiex Cercado, Sara Salvatierra
Journal of Visualized Surgery  
2017 , 
3:
77  
Review Article on Robotic Surgery 
Nodal upstaging: effects of instrumentation and three-dimensional view in clinical stage I lung cancer
Alper Toker, Mehmet Oğuzhan Özyurtkan, Erkan Kaba
Journal of Visualized Surgery  
2017 , 
3:
76  
Surgical Technique on Thoracic Surgery 
Subxiphoid thymectomy: single-port, dual-port, and robot-assisted
Takashi Suda
Journal of Visualized Surgery  
2017 , 
3:
75  
News 
Strategic partnership agreement between AME Publishing Company and Italian Society of Thoracic Surgery (SICT) is signed!
Editorial Office
Journal of Visualized Surgery  
2017 , 
3:
74  
Review Article on Thoracic Surgery 
Video-assisted thoracoscopic surgery en bloc chest wall resection
Agnese Giaccone, Piergiorgio Solli, Alessandro Pardolesi, Jury Brandolini, Luca Bertolaccini
Journal of Visualized Surgery  
2017 , 
3:
73  
Original Article on Thoracic Surgery 
Swine model for training surgeons in minimally invasive anatomic lung segmentectomy
Hiroyuki Oizumi, Hirohisa Kato, Makoto Endoh, Jun Suzuki, Hikaru Watarai, Akira Hamada, Katsuyuki Suzuki, Kenta Nakahashi, Mitsuaki Sadahiro
Journal of Visualized Surgery  
2017 , 
3:
72