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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

UNIPORTAL (SINGLE INCISION) VATS More >>
Robotic Surgery for Pancreatic Disease More >>
Minimally Invasive Techniques in Thymic Surgery: A Worldwide Perspective More >>
Review Article on Aerodigestive Endoscopy 
Endoscopic mucosal ablation and resection of Barrett’s esophagus and related diseases
Juan A. Muñoz-Largacha, Virginia R. Litle
Journal of Visualized Surgery  
2017 , 
3:
128  
Review Article on Aerodigestive Endoscopy 
Endobronchial thermoplasty for asthma
Felix Zamora, Roy Cho, Madhuri Rao, Heidi Gibson, H. Erhan Dincer
Journal of Visualized Surgery  
2017 , 
3:
127  
Review Article on Thoracic Surgery 
Uniportal video-assisted thoracoscopic surgery in hemothorax
Stefano Sanna, Luca Bertolaccini, Jury Brandolini, Desideria Argnani, Marta Mengozzi, Alessandro Pardolesi, Piergiorgio Solli
Journal of Visualized Surgery  
2017 , 
3:
126  
Review Article on Robotic Surgery 
Minimally invasive and robotic esophagectomy: state of the art
Marco Taurchini, Antonello Cuttitta
Journal of Visualized Surgery  
2017 , 
3:
125  
Review Article on Thymic Surgery 
Thymic minimally invasive surgery: state of the art across the world: Central-South America
Ricardo Mingarini Terra
Journal of Visualized Surgery  
2017 , 
3:
124  
Review Article on Thoracic Surgery 
Anatomic thoracoscopic segmentectomy for early-stage lung cancer
Chi-Fu Jeffrey Yang, Zachary W. Fitch, S. Scott Balderson, John Z. Deng, Thomas A. D’Amico
Journal of Visualized Surgery  
2017 , 
3:
123  
Review Article on Aerodigestive Endoscopy 
The current state of per oral endoscopic myotomy for achalasia
Shane P. Smith, Brian E. Louie
Journal of Visualized Surgery  
2017 , 
3:
122  
Review Article on Thoracic Surgery 
Endoscopic fundoplication: patient selection and technique
Hiran C. Fernando
Journal of Visualized Surgery  
2017 , 
3:
121  
Review Article on Thoracic Surgery 
Nonintubated uniportal VATS pulmonary anatomical resections
Carlos Galvez, Jose Navarro-Martinez, Sergio Bolufer, Francisco Lirio, Julio Sesma, Juan Manuel Corcoles
Journal of Visualized Surgery  
2017 , 
3:
120  
Review Article on Thoracic Surgery 
Thymic MIS: state of the art across the world (Russian Federation)
Piotr Yablonskii, Grigorii Kudriashov, Vadim Pischik, Evgenii Sigal, Sabriddin Nuraliev
Journal of Visualized Surgery  
2017 , 
3:
119  
Original Article on Thoracic Surgery 
Uniportal non-intubated lung metastasectomy
Tommaso Claudio Mineo, Francesco Sellitri, Eleonora Fabbi, Vincenzo Ambrogi
Journal of Visualized Surgery  
2017 , 
3:
118  
Original Article on Thoracic Surgery 
Uniportal video-assisted thoracoscopic surgery (VATS) technique is associated with decreased narcotic usage over traditional VATS lobectomy
Scott Gregory Louis, William James Gibson, Chase Lynn King, Nirmal Kumar Veeramachaneni
Journal of Visualized Surgery  
2017 , 
3:
117  
Review Article on Robotic Surgery 
Technique of robotic assisted minimally invasive esophagectomy (RAMIE)
Olugbenga T. Okusanya, Nicholas R. Hess, James D. Luketich, Inderpal S. Sarkaria
Journal of Visualized Surgery  
2017 , 
3:
116  
Perspective on Thoracic Surgery 
Advantages and disadvantages of single incision VATS in major anatomical resection for lung cancer
Semih Halezeroğlu
Journal of Visualized Surgery  
2017 , 
3:
115  
Case Report on Thoracic Surgery 
Single-incision video-assisted thoracoscopic surgery left-lower lobe anterior segmentectomy (S8)
Carlos Galvez, Francisco Lirio, Julio Sesma, Benno Baschwitz, Sergio Bolufer
Journal of Visualized Surgery  
2017 , 
3:
114