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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
PDF HTML

Teaching Uniportal in Lithuania
Nonintubated uniportal video-assisted thoracic surgery course—live surgery
Rasa Karalevičiūtė, Diego Gonzalez-Rivas
PDF HTML

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
PDF HTML

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

Focused Issues more

Pancreatic Surgery More >>
Subxiphoid Surgery More >>
ATEP special edition of Journal of Visualized Surgery More >>
Meet the Professor 
Prof. Diego Gonzalez-Rivas & Prof. Alan Sihoe: what do we need to think about uniportal video-assisted thoracoscopic surgery?
Grace S. Li
Journal of Visualized Surgery  
2016 , 
2:
124  
Review Article on Subxiphoid Surgery 
Uniportal subxiphoid video-assisted thoracoscopic thymectomy
Takashi Suda
Journal of Visualized Surgery  
2016 , 
2:
123  
Brief Reprot on Pancreatic Surgery 
Laparoscopic radical antegrade modular pancreatosplenectomy
Yoo-Seok Yoon, Ho-Seong Han, Jai Young Cho, YoungRok Choi, Jangkyu Choi
Journal of Visualized Surgery  
2016 , 
2:
122  
Original Article on Pancreatic Surgery 
Laparoscopic total pancreatectomy with islet autotransplantation for chronic pancreatitis
Alex B. Blair, Richard A. Burkhart, Kenzo Hirose, Martin A. Makary
Journal of Visualized Surgery  
2016 , 
2:
121  
Art and Surgery 
Beyond cardiac surgery: the expanded education of a false god
Myles Lee
Journal of Visualized Surgery  
2016 , 
2:
120  
Review Article on Pancreatic Surgery 
Endoscopic ultrasound of pancreatic lesions
Charing C. N. Chong, Raymond S. Y. Tang, John C. T. Wong, Anthony W. H. Chan, Anthony Y. B. Teoh
Journal of Visualized Surgery  
2016 , 
2:
119  
Review Article on Subxiphoid Surgery 
Robotic subxiphoid thymectomy
Takashi Suda
Journal of Visualized Surgery  
2016 , 
2:
118  
Original Article on Subxiphoid Surgery 
Learning curve and subxiphoid lung resections most common technical issues
Luis Angel Hernandez-Arenas, William Guido, Lei Jiang
Journal of Visualized Surgery  
2016 , 
2:
117  
Brief Report on Gastrointestinal Surgery 
Laparoscopic resection of gastric wall tumor
Xuefei Yang, Li Jiang, Fion S. Chan
Journal of Visualized Surgery  
2016 , 
2:
116  
Case Report on Thoracic Surgery 
Video-assisted thoracoscopic right upper sleeve lobectomy for fixated interlobar lymph node
Akif Turna, Seyfi Alper Toker
Journal of Visualized Surgery  
2016 , 
2:
115  
Case Report on Colorectal Surgery 
A combination of transanal minimally invasive surgery and transanal technique to facilitate suturing during transanal minimally invasive surgery
Robert Christie, Jeremy Sugrue, Saleh Eftaiha, Jan Kaminski, Tareq Kamal, John Park, Leela Prasad, Slawomir Marecik
Journal of Visualized Surgery  
2016 , 
2:
114  
Meet the Professor 
Dr. Diego Gonzalez-Rivas: uniportal video-assisted thoracic surgery has become increasingly important
Lucine M. Gao
Journal of Visualized Surgery  
2016 , 
2:
113  
Original Article on Subxiphoid Surgery 
Subxiphoid single-port video-assisted thoracoscopic surgery
Chia-Chuan Liu, Chih-Shiun Shih, Yun-Hen Liu, Chih-Tao Cheng, Enrico Melis, Zhen-Ying Liu
Journal of Visualized Surgery  
2016 , 
2:
112  
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
Journal of Visualized Surgery  
2016 , 
2:
111  
Case Report on Cardiac Surgery 
Positive video-assisted thoracoscopic pericardial window management of a right ventricle stab wound with minimally invasive technique
Jessica Correa Marin, Mauricio Zuluaga, Juan David Urrea Llano
Journal of Visualized Surgery  
2016 , 
2:
110