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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 Spain
Subxiphoid uniportal video-assisted bilateral surgery: right upper lobectomy and left upper wedge resection S3
Carlos Fernando Giraldo Ospina, Roberto MongilPoce, Ricardo Arrabal Sánchez, Ricardo Medina Sánchez, Noelia Sánchez Martin,Diego Gonzalez Rivas
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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 
The state of uniportal video-assisted thoracoscopic surgery in North America: a survey of thoracic surgeons
Ching Yeung, Sebastien Gilbert
Journal of Visualized Surgery  
2018 , 
4:
19  
Brief Report on Thoracic Surgery 
Uniportal non-intubated thoracic surgery
Benedetta Bedetti, Davide Patrini, Luca Bertolaccini, Roberto Crisci, Piergiorgio Solli, Joachim Schmidt, Marco Scarci
Journal of Visualized Surgery  
2018 , 
4:
18  
Surgical Technique on Thoracic Surgery 
Uniportal video-assisted thoracic lung segmentectomy with near infrared/indocyanine green intersegmental plane identification
Elisa Meacci, Dania Nachira, Maria Teresa Congedo, Marco Chiappetta, Leonardo Petracca Ciavarella, Stefano Margaritora
Journal of Visualized Surgery  
2018 , 
4:
17  
Surgical Technique on Thoracic Surgery 
Uniportal video-assisted thoracoscopic surgery (VATS) sleeve resections for non-small cell lung cancer patients: an observational prospective study and technique analysis
Aris Koryllos, Erich Stoelben
Journal of Visualized Surgery  
2018 , 
4:
16  
Original Article on Thoracic Surgery 
Predictors of unexpected nodal upstaging in patients with cT1-3N0 non-small cell lung cancer (NSCLC) submitted to thoracoscopic lobectomy
Giuseppe Marulli, Enrico Verderi, Giovanni M. Comacchio, Nicola Monaci, Giuseppe Natale, Samuele Nicotra, Federico Rea
Journal of Visualized Surgery  
2018 , 
4:
15  
Perspective on Thoracic Surgery 
Chronic type B “residual” after type A: what I would do?
Martin Czerny, Maximilian Kreibich, Julia Morlock, Stoyan Kondov, Johannes Scheumann, Holger Schröfel, Fabian A. Kari, Tim Berger, Matthias Siepe, Friedhelm Beyersdorf, Bartosz Rylski
Journal of Visualized Surgery  
2018 , 
4:
14  
Review Article on Robotic Surgery 
Robotic vascular resections during Whipple procedure
Bassan J. Allan, Stephanie M. Novak, Melissa E. Hogg, Herbert J. Zeh
Journal of Visualized Surgery  
2018 , 
4:
13  
Brief Report on Thoracic Surgery 
Small incisions, major complications: video-assisted thoracoscopic surgery management of intraoperative complications
William Grossi, Gianluca Masullo, Francesco Londero, Angelo Morelli
Journal of Visualized Surgery  
2018 , 
4:
12  
Surgical Technique on Thoracic Surgery 
The technique of VATS right pneumonectomy
Fernando Vannucci, Arthur Vieira, Paula A. Ugalde
Journal of Visualized Surgery  
2018 , 
4:
11  
Surgical Technique on Thoracic Surgery 
Minimal-invasive thoracic surgery in pediatric patients
Christian Kugler
Journal of Visualized Surgery  
2018 , 
4:
10  
Brief Report on Thoracic Surgery 
Anesthesia and analgesia: how does the role of anesthetists changes in the ERAS program for VATS lobectomy
Riccardo Ragazzi, Federico Piccioni
Journal of Visualized Surgery  
2018 , 
4:
9  
Viewpoint on Thoracic Surgery 
Thoracic endovascular aortic repair (TEVAR) versus open versus medical management of type B dissection
Erin Iannacone, Leonard Girardi
Journal of Visualized Surgery  
2018 , 
4:
8  
Review Article on Thymic Surgery 
Minimally invasive techniques in thymic surgery: a worldwide perspective
Hasan Fevzi Batirel
Journal of Visualized Surgery  
2018 , 
4:
7  
Case Report on Thoracic Surgery 
Parenchymal sparing resection for carcinoid of the right main bronchus
Marcello Migliore, Marco Nardini
Journal of Visualized Surgery  
2018 , 
4:
6  
Preface 
The time for VATS segmentectomy has come
Hiroyuki Oizumi
Journal of Visualized Surgery  
2018 , 
4:
5  
Review Article on Thoracic Surgery 
Enhanced recovery after surgery (ERAS) and fast-track in video- assisted thoracic surgery (VATS) lobectomy: preoperative optimisation and care-plans
Antonio D’Andrilli, Erino A. Rendina
Journal of Visualized Surgery  
2018 , 
4:
4  
Surgical Technique on Thoracic Surgery 
Robot-assisted bronchoplasty using continuous barbed sutures
Omar Matthieu Sarsam, Joel Dunning, Bruno Pochulu, Jean-Marc Baste
Journal of Visualized Surgery  
2018 , 
4:
3  
Brief Report on Thoracic Surgery 
The Very Experienced Time-honoUred Surgeons (VETUS) project
Luca Bertolaccini, Piergiorgio Solli, Roberto Crisci, Gaetano Rocco
Journal of Visualized Surgery  
2018 , 
4:
2  
Review Article on Robotic Surgery 
Training in robotic thoracic surgery
Paul L. Linsky, Benjamin Wei
Journal of Visualized Surgery  
2018 , 
4:
1  
Perspective 
Thoracoscopic lobectomy after induction therapy—a paradigm shift?
Sameer A. Hirji, Asishana Osho, Stafford S. Balderson, Thomas A. D’Amico
Journal of Visualized Surgery  
2017 , 
3:
189  
Surgical Technique on Thoracic Surgery 
Thoracoscopic anatomic lung resections for cancer in patients with previous cardiac surgery
Alfonso Fiorelli, Dario Amore, Paolo Mendogni, Davide Tosi, Mario Nosotti, Mario Santini, Carlo Curcio
Journal of Visualized Surgery  
2017 , 
3:
188  
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