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Surgical Documentary more


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 Germany
Non-intubated uniportal video-assisted thoracoscopic surgery-lobectomy in Germany—the first 2 cases
Patrick Zardo, Norman Zinne, Frank Logemann, Clemens Gras, Diego Gonzales Rivas
PDF HTML

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
PDF HTML

Teaching Uniportal VATS in Brazil
Uniportal video-assisted thoracic surgery: Pelotas—RS, Brazil, 2018
Otávio Leite Gastal, Ricardo Lanzetta Haack, Diego Gonzales Rivas, Laura Nunes Rotta, Izabel de Oliveira Karam
PDF HTML

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
PDF HTML

Teaching Uniportal VATS in South Africa
Uniportal lobectomy in Africa: a beginning
Ivan Schewitz
PDF HTML

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
PDF HTML

aTeaching 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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First International Symposium, Uniportal VATS—International Course Uniportal VATS, Buenos Aires, Argentina
Gustavo J. Bondulich 
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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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Uniportal VATS lobectomies—masterclass in Bratislava
Miroslav Janik, Peter Juhos
PDF 
This is life—the journey of a pioneer surgeon on a new approach to thoracic Surgery More >>

Focused Issues more

Special Issue dedicated to the 6th Asian Single-port VATS Symposium 2018 More >>
Minimally Invasive Surgery - Robotics and VATS in Brazil More >>
Tracheal surgery More >>
Surgical Technique on Thoracic Surgery 
Management of intraoperative bleeding during video-assisted thoracoscopic surgery
Seshiru Nakazawa, Kimihiro Shimizu, Takayuki Kosaka, Yoichi Ohtaki, Akira Mogi, Ken Shirabe
Journal of Visualized Surgery  
2018 , 
4:
245  
Surgical Technique on Thoracic Surgery 
Single-port minimally invasive esophagectomy
Jen-Hao Chuang, Shun-Mao Yang, Pei-Wen Yang, Pei-Ming Huang, Jang-Ming Lee
Journal of Visualized Surgery  
2018 , 
4:
244  
Teaching Uniportal VATS in Brazil 
Uniportal video-assisted thoracic surgery: Pelotas—RS, Brazil, 2018
Otávio Leite Gastal, Ricardo Lanzetta Haack, Diego Gonzales Rivas, Laura Nunes Rotta, Izabel de Oliveira Karam
Journal of Visualized Surgery  
2018 , 
4:
243  
Review Article on Thoracic Surgery 
Non-anatomic lung resection by video-assisted thoracoscopic surgery
Renata Baú, Spencer Marcantonio Camargo, Stephan Adamour Soder, José Carlos Felicetti
Journal of Visualized Surgery  
2018 , 
4:
242  
Preface on Thoracic Surgery 
Taking to video-assisted thoracoscopic surgery like ducks to water
Jose Luis Danguilan
Journal of Visualized Surgery  
2018 , 
4:
241  
Editorial on Thoracic Surgery 
From video-assisted thoracoscopic surgery to the uniportal subxiphoid robotic approach
Diego Gonzalez-Rivas
Journal of Visualized Surgery  
2018 , 
4:
240  
Meet the Professor 
Prof. Franca Melfi: robot is the future
Skylar Gao
Journal of Visualized Surgery  
2018 , 
4:
239  
Review Article on Thoracic Surgery 
Video-assisted thoracic surgery segmentectomies: Brazilian experience
Spencer Marcantonio Camargo, Stephan Adamour Soder, Fabiola Adelia Perin, José Carlos Felicetti, José de Jesus Peixoto Camargo
Journal of Visualized Surgery  
2018 , 
4:
238  
Surgical Technique on Thoracic Surgery 
Management of post pneumonectomy bronchopleural fistula: the transpericardial approach
Sabyasachi Bal, Kamran Ali, Beena Haridas, Gagan Shrivastava, Sanjay Gupta
Journal of Visualized Surgery  
2018 , 
4:
237  
Case Report on Thoracic Surgery 
Lobar torsion after thoracoscopic upper bilobectomy: report of a case
Dario Amore, Antonio Molino, Dino Casazza, Umberto Caterino, Marcellino Cicalese, Roberto Scaramuzzi, Davide Di Natale, Albina Palma, Pasquale Imitazione, Carlo Curcio
Journal of Visualized Surgery  
2018 , 
4:
236  
Surgical Technique on Thoracic Surgery 
Surgery for bronchiectasis
Thirugnanam Agasthian
Journal of Visualized Surgery  
2018 , 
4:
235  
Surgical Technique on Thoracic Surgery 
Supermediastinoscopies: where to fit and how to do on cancer practice
Iury Andradade Melo, Gustavo Fortunato, Sergio Tadeu Lima Fortunato Pereira
Journal of Visualized Surgery  
2018 , 
4:
234  
Meet the Professor 
Prof. Keith T. Oldham: solving problems can be a powerful motivator
Limor Fan, Silvia Zhou, Grace Li
Journal of Visualized Surgery  
2018 , 
4:
233  
Review Article on Thoracic Surgery 
Response to intraoperative bleeding during video-assisted thoracoscopic surgery
Tomohiro Haruki, Hiroshige Nakamura
Journal of Visualized Surgery  
2018 , 
4:
232  
Surgical Technique on Gastrointestinal Surgery 
Simplified laparoscopic wedge resection for gastrointestinal stromal tumors adjacent to the esophagogastric junction or posterior fundus wall
Francisco Berrospi-Espinoza, Ramiro M. Fernández-Placencia, Eloy Ruiz-Figueroa
Journal of Visualized Surgery  
2018 , 
4:
231  
Review Article on Thoracic Surgery 
Video-assisted thoracoscopic surgery in lung cancer staging
Frederico Krieger Martins, Guilherme Augusto Oliveira, Juliano Cé Coelho, Márcio Chmelnitsky Kruter, Thiago Krieger Bento da Silva, Juliana Scheffer, Marcelo Bastiani Pasa
Journal of Visualized Surgery  
2018 , 
4:
230  
Viewpoint on Thoracic Surgery 
Training program in robotic thoracic surgery
Flavio Brito Filho, Luis Herrera, Marcelo DaSilva
Journal of Visualized Surgery  
2018 , 
4:
229  
Original Article on Otorhinolaryngologic Surgery 
Linear stapler closure of the pharynx in laryngectomy: our experience (endoscopic closed technique)
Bruno Galletti, Francesco Freni, Natalia Catalano, Rita Angela Nicita, Rocco Bruno, Claudio Galletti, Francesco Galletti
Journal of Visualized Surgery  
2018 , 
4:
228  
Surgical Technique on Thoracic Surgery 
Tips and tricks for entering a difficult chest via VATS
Mingyon Mun, Junji Ichinose, Yosuke Matsuura, Masayuki Nakao, Sakae Okumura
Journal of Visualized Surgery  
2018 , 
4:
227  
Case Report on Colorectal Surgery 
Transanal repair of a recto-urethral fistula after robotic prostatectomy
Tae David Kim, Sany Thomas, Kunal Kochar, John J. Park, Slawomir Marecik
Journal of Visualized Surgery  
2018 , 
4:
226  
Surgical Technique on Thoracic Surgery 
Management of intraoperative bleeding during thoracoscopic pulmonary resection in Japan
Hitoshi Igai, Mitsuhiro Kamiyoshihara, Ryohei Yoshikawa, Fumi Ohsawa, Tomohiro Yazawa, Kimihiro Shimizu
Journal of Visualized Surgery  
2018 , 
4:
225  
Review Article on Thoracic Surgery 
Surgical management of lung abscess: from open drainage to pulmonary resection
Jia-Hao Zhang, Shun-Mao Yang, Cheng-Hung How, Yun-Fang Ciou
Journal of Visualized Surgery  
2018 , 
4:
224  
Case Report on Hepatobiliary Surgery 
Advanced hepatocellular carcinoma with portal tumor thrombosis in cirrhotic patient: laparoscopic right hepatectomy with vascular reconstruction
Rodrigo Canada Surjan, Fabio Ferrari Makdissi, Tiago Basseres, Marcel Autran Cesar Machado
Journal of Visualized Surgery  
2018 , 
4:
223  
Original Article on Thoracic Surgery 
The future of minimally invasive thymectomy: the uniportal subxiphoid video-assisted thoracic surgery technique—a case series
Jason M. Ali, Sara Volpi, Lei Jiang, Chenlu Yang, Liang Wu, Gening Jiang, Giuseppe Aresu
Journal of Visualized Surgery  
2018 , 
4:
222  
Teaching Uniportal VATS in Dominican Republic 
Start and development of uniportal video-assisted thoracic surgery (VATS) in Dominican Republic: surgeries and training experience
Jonathan Vargas Acevedo, Diego González-Rivas
Journal of Visualized Surgery  
2018 , 
4:
221  
Surgical Technique on Thoracic Surgery 
Nodule marking strategies: cost-benefit
Frederico Krieger Martins, Guilherme Augusto Oliveira, Thiago Krieger Bento da Silva, Rodrigo Moreira Bello, Juliano Cé Coelho, Ana Gelatti, Jairo Lewgoy, Marcelo Bastiani Pasa
Journal of Visualized Surgery  
2018 , 
4:
220  
Viewpoint on Thoracic Surgery 
Inflammatory myofibroblastic tumor: difficult to manage
Peter Sze-Yuen Yu
Journal of Visualized Surgery  
2018 , 
4:
219  
Surgical Technique on Thoracic Surgery 
Transitioning from multiple ports to a single port in video-assisted thoracic surgery: early results
Ivan Salgado de Azevedo, Ricardo Madeira
Journal of Visualized Surgery  
2018 , 
4:
218  
Teaching Uniportal VATS in New Zealand 
The first uniportal video-assisted thoracoscopic surgery masterclass in New Zealand
Timothy Oh, Paul Conaglen
Journal of Visualized Surgery  
2018 , 
4:
217  
Review Article on Thoracic Surgery 
Laryngotracheal resection: perioperative management and surgical technique
Camilla Vanni, Camilla Poggi, Antonio D’Andrilli, Anna Maria Ciccone, Mohsen Ibrahim, Claudio Andreetti, Cecilia Menna, Domenico Massullo, Federico Venuta, Erino Angelo Rendina, Giulio Maurizi
Journal of Visualized Surgery  
2018 , 
4:
216