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

Focused Issues more

Robotic Surgery for Pancreatic Disease More >>
Minimally Invasive Techniques in Thymic Surgery: A Worldwide Perspective More >>
Robotic Surgery More >>
Review Article on Thoracic Surgery 
Robotic lobectomies: when and why?
Sara Ricciardi, Giuseppe Cardillo, Carmelina Cristina Zirafa, Federico Davini, Franca Melfi
Journal of Visualized Surgery  
2017 , 
3:
112  
Original Article on Thoracic Surgery 
Use of autologous platelet rich plasma (PRP) in stopping massive hemoptysis at the Lung Center of the Philippines: a pilot study
Armand Gregorio C. Sarmiento, Jose Luis J. Danguilan, Zenaida M. Mariano, Maria Teresa A. Barzaga
Journal of Visualized Surgery  
2017 , 
3:
111  
Editorial on Thoracic Surgery 
A new race against lung cancer
Diego Cortinovis, Stefania Canova, Mariaida I. Abbate, Francesca Colonese, Paolo Bidoli
Journal of Visualized Surgery  
2017 , 
3:
110  
Case Report 
Less is more: lung-sparing direct repair of a traumatic rupture of the bronchus intermedius
Giovanni Scognamiglio, Piergiorgio Solli, Marco Benni, Fabio Davoli, Alessandro Pardolesi, Luca Bertolaccini, Vanni Agnoletti
Journal of Visualized Surgery  
2017 , 
3:
109  
Review Article on Thoracic Surgery 
Anaesthesiology for uniportal VATS: double lumen, single lumen and tubeless
Ze-Rui Zhao, Rainbow W. H. Lau, Calvin S. H. Ng
Journal of Visualized Surgery  
2017 , 
3:
108  
Review Article on Thoracic Surgery 
Uniportal video-assisted thoracic surgery for pneumothorax and blebs/bullae
Luca Bertolaccini, Alessandro Pardolesi, Jury Brandolini, Piergiorgio Solli
Journal of Visualized Surgery  
2017 , 
3:
107  
Review Article on Robotic Surgery 
Developing a robotic pancreas program: the Dutch experience
Carolijn L. Nota, Maurice J. Zwart, Yuman Fong, Jeroen Hagendoorn, Melissa E. Hogg, Bas Groot Koerkamp, Marc G. Besselink, I. Quintus Molenaar, for the Dutch Pancreatic Cancer Group
Journal of Visualized Surgery  
2017 , 
3:
106  
Perspective on Thoracic Surgery 
Video-assisted thoracoscopic subsegmentectomy for small-sized pulmonary nodules
Hirohisa Kato, Hiroyuki Oizumi, Jun Suzuki, Akira Hamada, Hikaru Watarai, Kenta Nakahashi, Mitsuaki Sadahiro
Journal of Visualized Surgery  
2017 , 
3:
105  
Perspective on Thoracic Surgery 
Steps in the development of a VATS lobectomy program
Dario Amore, Carlo Curcio
Journal of Visualized Surgery  
2017 , 
3:
104  
Review Article on Thoracic Surgery 
For which thoracic operation is U-VATS superior?
Kyoji Hirai, Yutaka Enomoto, Jitsuo Usuda
Journal of Visualized Surgery  
2017 , 
3:
103  
Surgical Technique 
Endoscopic treatment with fibrin glue of post-intubation tracheal laceration
Alfonso Fiorelli, Roberto Cascone, Davide Di Natale, Matteo Pierdiluca, Rossella Mastromarino, Giovanni Natale, Emanuele De Ruberto, Gaetana Messina, Giovanni Vicidomini, Mario Santini
Journal of Visualized Surgery  
2017 , 
3:
102  
Case Report on Thoracic Surgery 
Subxiphoid approach for a combined right upper lobectomy and thymectomy through a single incision
Alonso José Oviedo Argueta, Sonia Raquelline Roque Cañas, Firas Abu Akar, Diego Gonzalez-Rivas
Journal of Visualized Surgery  
2017 , 
3:
101  
Perspective on Thoracic Surgery 
How to demarcate intersegmental plane with resected-segments inflation method using the slip knot technique in thoracoscopic anatomic segmentectomy
Makoto Endoh, Hiroyuki Oizumi, Hirohisa Kato, Jun Suzuki, Hikaru Watarai, Akira Hamada, Katsuyuki Suzuki, Satoshi Shiono
Journal of Visualized Surgery  
2017 , 
3:
100  
Original Article on Thoracic Surgery 
Definitions and standard indications of minimally-invasive techniques in thymic surgery
Marcin Zieliński
Journal of Visualized Surgery  
2017 , 
3:
99  
Art and Surgery 
Approaches to photographic art I: life imitates art
Myles Lee
Journal of Visualized Surgery  
2017 , 
3:
98