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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 in Brazil
Uniportal video assisted thoracic surgery right main sparing lung bronchial resection: live surgery in Sao Paulo
Rodrigo A. S. Sardenberg, Diego Gonzalez-Rivas
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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
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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
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Teaching Uniportal VATS in Argentina  
Uniportal video-assisted thoracoscopic surgery, Argentinian experience
Gustavo Bondulich, Diego Gonzalez Rivas
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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
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Teaching Uniportal VATS in Rome 
Teaching uniportal video-assisted thoracic surgery in Rome
Elisa Meacci, Dania Nachira, Maria Teresa Congedo, Stefano Margaritora
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This is life—the journey of a pioneer surgeon on a new approach to thoracic Surgery More >>

Focused Issues more

VATS and RATS lobectomy up to date: clinical and experimental evidences More >>
Closed chest surgery for congenital malformations and otherrelated disorders More >>
Minimally invasive surgery for lung cancer More >>
Original Article on Thoracic Surgery 
Video-assisted thoracoscopic surgery lobectomy using “the caudal approach”: results and evolution
Giampiero Dolci, Alessio Campisi, Domenica Giunta, Stefano Congiu, Niccolò Daddi, Giacomo Murana, Andrea Dell’Amore
Journal of Visualized Surgery  
2017 , 
3:
187  
Teaching Uniportal in Spain 
Subxiphoid uniportal video-assisted bilateral surgery: right upper lobectomy and left upper wedge resection S3
Carlos Fernando Giraldo Ospina, Roberto Mongil Poce, Ricardo Arrabal Sánchez, Ricardo Medina Sánchez, Noelia Sánchez Martin, Diego Gonzalez Rivas
Journal of Visualized Surgery  
2017 , 
3:
186  
Editorial on Thoracic Surgery 
Proper use of history
Alan D. L. Sihoe
Journal of Visualized Surgery  
2017 , 
3:
185  
Meet the Professor 
Dr. Alessandro Brunelli: passion is my motivation
Tracy Zhang
Journal of Visualized Surgery  
2017 , 
3:
184  
Meet the Professor 
Dr. Marco Scarci: never settle for easy life
Tracy Zhang
Journal of Visualized Surgery  
2017 , 
3:
183  
Review Article on Esophageal Surgery 
Uniportal video-assisted thoracoscopic surgery in esophageal diseases: an introduction
Toni Lerut
Journal of Visualized Surgery  
2017 , 
3:
182  
Preface 
A worldwide overview on minimally-invasive techniques in thymic surgery: time for a paradigm shift
Enrico Ruffini
Journal of Visualized Surgery  
2017 , 
3:
181  
Perspective on Thoracic Surgery 
Uniportal lobectomy and segmentectomy—is it for all?
Sameer A. Hirji, Stafford S. Balderson, Thomas A. D’Amico
Journal of Visualized Surgery  
2017 , 
3:
180  
Review Article on Thoracic Surgery 
Can a standardised Ventilation Mechanical Test for quantitative intraoperative air leak grading reduce the length of hospital stay after video-assisted thoracoscopic surgery lobectomy?
Francesco Zaraca, Maurizio Vaccarili, Gino Zaccagna, Pio Maniscalco, Giampiero Dolci, Birgit Feil, Reinhold Perkmann, Luca Bertolaccini, Roberto Crisci
Journal of Visualized Surgery  
2017 , 
3:
179  
Editorial on Neurosurgery 
DNA methylation analysis for the treatment of meningiomas
Julian L. Gendreau, Kevin K. H. Chow, Eric S. Sussman, Aditya Iyer, Arjun V. Pendharkar, Allen L. Ho
Journal of Visualized Surgery  
2017 , 
3:
178  
Editorial on Simulation Training 
Simulation training in laparoscopy and robotic surgery
Hitendra R. H. Patel
Journal of Visualized Surgery  
2017 , 
3:
177  
Review Article on Thoracic Surgery 
Thoracoscopic approach to congenital diaphragmatic hernias in adults: Southampton approach and review of the literature
Khalid Amer
Journal of Visualized Surgery  
2017 , 
3:
176  
Meet the Professor 
Prof. Joel Dunning: the future of thoracic surgery is full of possibilities
Skylar Gao, Bella Poon
Journal of Visualized Surgery  
2017 , 
3:
175  
Review Article on Thoracic Surgery 
Congenital bronchial atresia in adults: thoracoscopic resection
Akram Traibi, Agathe Seguin-Givelet, Madalina Grigoroiu, Emmanuel Brian, Dominique Gossot
Journal of Visualized Surgery  
2017 , 
3:
174  
Meet the Professor 
Prof. Robert Cerfolio: we can always do better
Skylar Gao
Journal of Visualized Surgery  
2017 , 
3:
173  
Review Article on Aerodigestive Endoscopy 
Airway stenting in excessive central airway collapse
Mihir Parikh, Jennifer Wilson, Adnan Majid, Sidhu Gangadharan
Journal of Visualized Surgery  
2017 , 
3:
172  
Original Article on Thoracic Surgery 
Subxiphoid uniportal VATS thymectomy
Marcin Zieliński, Mariusz Rybak, Katarzyna Solarczyk-Bombik, Michal Wilkojc, Wojciech Czajkowski, Sylweriusz Kosinski, Edward Fryzlewicz, Tomasz Nabialek, Malgorzata Szolkowska, Juliusz Pankowski
Journal of Visualized Surgery  
2017 , 
3:
171  
Original Article on Aerodigestive Endoscopy 
Bronchoscopic lung volume reduction with endobronchial valves for heterogeneous emphysema: long-term results
Alfonso Fiorelli, Carlo Santoriello, Alberto De Felice, Francesco Ferrigno, Annalisa Carlucci, Emanuele De Ruberto, Rossella Mastromarino, Lisa Occhiati, Gaetana Messina, Elena Santoriello, Giovanni Vicidomini, Mario Polverino, Mario Santini
Journal of Visualized Surgery  
2017 , 
3:
170  
Original Article on Subxiphoid Surgery 
Uniportal subxiphoid video-assisted thoracoscopic approach for thymectomy: a case series
Helen Weaver, Jason M. Ali, Lei Jiang, Chenlu Yang, Liang Wu, Gening Jiang, Giuseppe Aresu
Journal of Visualized Surgery  
2017 , 
3:
169  
Case Report on Thoracic Surgery 
Bilateral uniportal video-assisted thoracic surgery segmentectomy S3: an unusual case
Alonso José Oviedo Argueta, Sonia Raquelline Roque Cañas, Yuming Zhu, Diego Gonzalez-Rivas
Journal of Visualized Surgery  
2017 , 
3:
168  
Surgical Technique on Thoracic Surgery 
Lymphadenectomy during thoracoscopy: techniques and efficacy
Carlo Curcio, Dario Amore
Journal of Visualized Surgery  
2017 , 
3:
167  
Teaching Uniportal in Brazil 
Uniportal video assisted thoracic surgery right main sparing lung bronchial resection: live surgery in Sao Paulo
Rodrigo A. S. Sardenberg, Diego Gonzalez-Rivas
Journal of Visualized Surgery  
2017 , 
3:
166  
Art and Surgery 
Approaches to photographic art II: life
Myles Lee
Journal of Visualized Surgery  
2017 , 
3:
165  
Perspective on Thoracic Surgery 
Perspective on uniportal thoracic surgery: where do we stand and what is the future
Marco Nardini, Rocco Bilancia, Joel Dunning
Journal of Visualized Surgery  
2017 , 
3:
164  
Surgical Technique on Thoracic Surgery 
Unisurgeon’ uniportal video-assisted thoracoscopic surgery lobectomy
Diego Gonzalez-Rivas
Journal of Visualized Surgery  
2017 , 
3:
163