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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 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

Dedicated to Asian Single Port VATS Symposium 2017

Dedicated to Asian Single Port VATS Symposium 2017 More >>
VATS and RATS lobectomy up to date: clinical and experimental evidences More >>
Closed chest surgery for congenital malformations and otherrelated disorders More >>
Original Article on Thoracic Surgery 
Treatment of pulmonary nodule: from VATS to RATS
Federico Davini, Sara Ricciardi, Carmelina Cristina Zirafa, Ilenia Cavaliere, Gaetano Romano, Franca Melfi
Journal of Visualized Surgery  
2018 , 
4:
36  
Surgical Technique on Thoracic Surgery 
Micro-incision thoracoscopic treatment of primary spontaneous pneumothorax: the “loop” technique
Alessio Campisi, Andrea Dell’Amore, Domenica Giunta, Stefano Congiu, Niccolò Daddi, Giampiero Dolci
Journal of Visualized Surgery  
2018 , 
4:
35  
Teaching Uniportal VATS in Argentina 
First International Symposium, Uniportal VATS—International Course Uniportal VATS, Buenos Aires, Argentina
Gustavo J. Bondulich
Journal of Visualized Surgery  
2018 , 
4:
34  
Viewpoint on Cardiac Surgery 
The best of both worlds—repair of acute Stanford type A aortic dissections in the hybrid operating room?
Brent Keeling, Edward Chen
Journal of Visualized Surgery  
2018 , 
4:
33  
Surgical Technique on Thoracic Surgery 
Hybrid treatment of T3 chest wall lung cancer lobectomy
Massimo Osvaldo Jaus, Annarita Forcione, Alessandro Gonfiotti, Francesco Carleo, Alessia Raffaella De Massimi, Luigi Carbone, Marco Di Martino, Giuseppe Cardillo
Journal of Visualized Surgery  
2018 , 
4:
32  
Review Article on Cardiac Surgery 
State-of the-art review on the renal and visceral protection during open thoracoabdominal aortic aneurysm repair
Karl Waked, Marc Schepens
Journal of Visualized Surgery  
2018 , 
4:
31  
Preface 
Robotic surgery: the future is now
Matthew J. Weiss, Melissa E. Hogg
Journal of Visualized Surgery  
2018 , 
4:
30  
Review Article on Thoracic Surgery 
A word of caution—when uniportal VATS should not be done
Florian Augustin, Thomas Schmid
Journal of Visualized Surgery  
2018 , 
4:
29  
Surgical Technique on Thoracic Surgery 
Intraoperative complications during VATS lobectomies from conversion to minimally-invasive “trouble-shooting”
Paolo Lucciarini, Florian Augustin, Herbert Thomas Maier, Francesco Zaraca, Thomas Schmid
Journal of Visualized Surgery  
2018 , 
4:
28  
Surgical Technique on Thoracic Surgery 
Extended uniportal bilateral sympathectomy
Marcello Migliore, Manuela Palazzolo, Manuela Pennisi, Marco Nardini, Francesco Borrata
Journal of Visualized Surgery  
2018 , 
4:
27  
Original Article on Thoracic Surgery 
Application of the coaxial smart drain in patients with a large air leak following anatomic lung resection: a prospective multicenter phase II analysis of efficacy and safety
Francesco Guerrera, Pier Luigi Filosso, Cecilia Pompili, Stefania Olivetti, Matteo Roffinella, Andrea Imperatori, Alessandro Brunelli
Journal of Visualized Surgery  
2018 , 
4:
26  
Perspective on Thoracic Surgery 
Immune response after video-assisted thoracic surgery in non- small cell lung cancer patients
Mirko Barone, Giuseppe Cipollone, Felice Mucilli
Journal of Visualized Surgery  
2018 , 
4:
25  
Brief Report on Thoracic Surgery 
Monitored transoral endoscopic thyroidectomy via long monopolar stimulation probe
Gianlorenzo Dionigi, Che-Wei Wu, Ralph P. Tufano, Antonio Giacomo Rizzo, Angkoon Anuwong, Hui Sun, Paolo Carcoforo, Cancellieri Antonino, Mattia Portinari, Hoon Yub Kim
Journal of Visualized Surgery  
2018 , 
4:
24  
Viewpoint on Thoracic Surgery 
From RATS to VATS: why we did choose this way
Thomas Schmid, Florian Augustin
Journal of Visualized Surgery  
2018 , 
4:
23  
Preface 
Robotic Surgery
Robert J. Cerfolio
Journal of Visualized Surgery  
2018 , 
4:
22