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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
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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

Minimally invasive surgery for lung cancer More >>
Mitral Valve Repair Surgery More >>
2017 Symposium on Endoscopic Ultrasonography More >>
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  
Review Article on Thoracic Surgery 
Robotic-assisted thoracoscopic surgery thymectomy
Carlo Curcio, Roberto Scaramuzzi, Dario Amore
Journal of Visualized Surgery  
2017 , 
3:
162  
Review Article on Thymic Surgery 
Physiopathology aspects of anatomical video-assisted thoracic surgery resections: current status and prospects of development
Majed Refai, Marco Andolfi, Armando Sabbatini
Journal of Visualized Surgery  
2017 , 
3:
161  
Original Article on Thoracic Surgery 
Thoracoscopic lobectomy for locally advanced-stage non-small cell lung cancer is a feasible and safe approach: analysis from multi-institutional national database
Alessandro Gonfiotti, Stefano Bongiolatti, Luca Bertolaccini, Domenico Viggiano, Piergiorgio Solli, Andrea Droghetti, Alessandro Bertani, Roberto Crisci, Luca Voltolini, Italian VATS Group
Journal of Visualized Surgery  
2017 , 
3:
160  
Surgical Technique on Thoracic Surgery 
Uniportal sleeve lobectomy for lung cancer
Dmitrii Sekhniaidze, Malik Agasiev, Tatyana Obuhova
Journal of Visualized Surgery  
2017 , 
3:
159  
Original Article on Cardiac Surgery 
Surgical treatment of secondary mitral regurgitation: is repair a reasonable option?
Clarence Pingpoh, Matthias Siepe, Wolfgang Bothe
Journal of Visualized Surgery  
2017 , 
3:
158  
Review Article on Thoracic Surgery 
A glance at the history of uniportal video-assisted thoracic surgery
Tommaso Claudio Mineo, Vincenzo Ambrogi
Journal of Visualized Surgery  
2017 , 
3:
157  
Surgical Technique on Esophageal Surgery 
Uniportal video-assisted thoracic surgery for esophageal cancer
Hasan F. Batirel
Journal of Visualized Surgery  
2017 , 
3:
156  
Original Article on Thoracic Surgery 
Nonintubated uniportal thoracoscopic wedge resection for early lung cancer
Tung-Ming Tsai, Mong-Wei Lin, Hsao-Hsun Hsu, Jin-Shing Chen
Journal of Visualized Surgery  
2017 , 
3:
155  
Surgical Technique on Thoracic Surgery 
Single incision extended video assisted transcervical thymectomy
Marcello Migliore, Alessandra Criscione, Marco Nardini, Francesco Patti, Francesco Borrata
Journal of Visualized Surgery  
2017 , 
3:
154  
Surgical Technique on Thoracic Surgery 
Initial experience of Da Vinci robotic thoracic surgery at the First Affiliated Hospital of Zhejiang University
Zhehao He, Liping Zeng, Chong Zhang, Luming Wang, Zhitian Wang, Azmat Rustam, Chengli Du, Wang Lv, Jian Hu
Journal of Visualized Surgery  
2017 , 
3:
153  
Review Article on Thoracic Surgery 
Cost/efficacy evaluation of the technologies applied to video-assisted thoracoscopic surgery lobectomy
Cecilia Menna, Mohsen Ibrahim, Erino Angelo Rendina, Federico Venuta, Claudio Andreetti
Journal of Visualized Surgery  
2017 , 
3:
152  
Review Article on Pancreatic Surgery 
Robotic enucleation of benign pancreatic tumors
Ana Sofia Ore, Courtney E. Barrows, Monica Solis-Velasco, Jessica Shaker, A. James Moser
Journal of Visualized Surgery  
2017 , 
3:
151  
Editorial on Thoracic Surgery 
Atrial fibrillation surgery and mitral repair
Manuel Castellá
Journal of Visualized Surgery  
2017 , 
3:
150  
Brief Report on Thoracic Surgery 
Staged bronchial closure in uniportal video-assisted thoracoscopic anatomical resection for lung cancer with calcified lymph nodes
Ying-Yuan Chen, Tzu-Hung Lin, Chao-Chun Chang, Wei-Li Huang, Yi-Ting Yen, Yau-Lin Tseng
Journal of Visualized Surgery  
2017 , 
3:
149  
Review Article on Thoracic Surgery 
Image-guided thoracic surgery in the hybrid operation room
Hideki Ujiie, Andrew Effat, Kazuhiro Yasufuku
Journal of Visualized Surgery  
2017 , 
3:
148  
Case Report on Subxiphoid Surgery 
Subxiphoid single incision thoracoscopic surgery approach for thymectomy: a case report
Jay Karunanantham, Matthew Fok, Jason M. Ali, Adam Peryt, Aman Coonar, Giuseppe Aresu
Journal of Visualized Surgery  
2017 , 
3:
147