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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
PDF HTML

Teaching Uniportal VATS in Egypt
Right pneumonectomy for carcinoid tumor extending through the intermediate bronchus and the interlobar artery
Hussein Elkhayat, Diego Gonzalez-Rivas
PDF HTML

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
PDF 
This is life—the journey of a pioneer surgeon on a new approach to thoracic Surgery More >>

Focused Issues more

ATEP special edition of Journal of Visualized Surgery More >>
Focused issue dedicated to the 2nd Cambridge International VATS Symposium More >>
Pectus Surgery More >>
Original Article on Gastrointestinal Surgery 
Simultaneous laparoscopic distal gastrectomy (uncut Roux-en-Y anastomosis), right hemi-colectomy and radical rectectomy (Dixon) in a synchronous triple primary stomach, colon and rectal cancers patient
Li Yang, Diancai Zhang, Fengyuan Li, Xiang Ma
Journal of Visualized Surgery  
2016 , 
2:
101  
Original Article on Gastrointestinal Surgery 
Delta-shaped Billroth-I anastomosis in totally laparoscopic distal gastrectomy with D2 lymph node dissection for gastric cancer
Jian Zhang, Rong-Chao Ying, Wei Wei, A-Kao Zhu, Guang Yin
Journal of Visualized Surgery  
2016 , 
2:
100  
Editorial on Thoracic Surgery 
Incorporating vacuum bell therapy into pectus excavatum treatment
Robert J. Obermeyer
Journal of Visualized Surgery  
2016 , 
2:
99  
Brief Report on Gastrointestinal Surgery 
How to step over the learning curve of laparoscopic spleen-preserving splenic hilar lymphadenectomy
Qing-Qi Hong, Yong-Wen Li, Zheng-Jie Huang, Ling-Tao Luo, Qi Luo, Jun You
Journal of Visualized Surgery  
2016 , 
2:
98  
Editorial 
Dr. Naruke, as a Father
Masao Naruke
Journal of Visualized Surgery  
2016 , 
2:
97  
Original Article on Thoracic Surgery 
A tale of surviving three consecutive cardiorespiratory arrests on table during a right sided pneumonectomy
Ali Zamir Khan, Kamran Ali, Narendra Agarwal, Shaiwal Khandelwal
Journal of Visualized Surgery  
2016 , 
2:
96  
Original Article on Thoracic Surgery 
Four years’ experience in uniportal video-assisted thoracoscopic surgery for major lung resections: influence of silicosis in clinical outcomes
Javier Aragón, Itzell Pérez Méndez
Journal of Visualized Surgery  
2016 , 
2:
95  
Original Article on Thoracic Surgery 
Video-assisted thoracic surgery micro pneumonectomy, a new approach
Mohamed Moneer ElSaegh, Nur Aziah Ismail, Jacqueline Gordon, Iqbal Khan, Richard Jones, Rachel Calvert, Leanne Connelly, Joel Dunning
Journal of Visualized Surgery  
2016 , 
2:
94  
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
Journal of Visualized Surgery  
2016 , 
2:
93  
Perspective on Thoracic Surgery 
Video-assisted thoracic surgery? Yes, but the best interest of the patient always first
Ricardo A. Navarro
Journal of Visualized Surgery  
2016 , 
2:
92  
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
Journal of Visualized Surgery  
2016 , 
2:
91  
Case Report on Thoracic Surgery 
Subxiphoid uniportal video-assisted thoracoscopic trisegmentectomy
Luis Angel Hernandez-Arenas, Lei Lin, Liang Wu, Giuseppe Aresu, Gening Jiang, Lei Jiang
Journal of Visualized Surgery  
2016 , 
2:
90  
Teaching Uniportal VATS in Egypt 
Right pneumonectomy for carcinoid tumor extending through the intermediate bronchus and the interlobar artery
Hussein Elkhayat, Diego Gonzalez-Rivas
Journal of Visualized Surgery  
2016 , 
2:
89  
News 
The highlights in the 3rd International Uniportal VATS Course
Skylar Gao
Journal of Visualized Surgery  
2016 , 
2:
88  
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
Journal of Visualized Surgery  
2016 , 
2:
87