Cover Page

About jovs

Manuscript Submission

AME Editing Service

Reprint & Permission

Advertising

Contact us

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
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
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 
PDF HTML

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
PDF HTML

Teaching Uniportal VATS in Egypt
Right pneumonectomy for carcinoid tumor extending through the intermediate bronchus and the interlobar artery
Hussein Elkhayat, Diego Gonzalez-Rivas
PDF HTML

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
PDF HTML

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 HTML

Teaching Uniportal VATS in Chile
Single port training in Latin-America—first uniportal video-assisted thoracoscopic surgery masterclass in Santiago, Chile
José Miguel Clavero
PDF HTML

The adoption of uniportal approach in Chile: the experience of a single surgical team from Valparaíso, Chile
Cristian González Collao
PDF HTML

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
PDF HTML

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
PDF HTML

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
PDF HTML

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
PDF HTML

Teaching Uniportal VATS in Argentina  
Uniportal video-assisted thoracoscopic surgery, Argentinian experience
Gustavo Bondulich, Diego Gonzalez Rivas
PDF HTML

First International Symposium, Uniportal VATS—International Course Uniportal VATS, Buenos Aires, Argentina
Gustavo J. Bondulich 
PDF HTML

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
PDF HTML

Teaching Uniportal VATS in Rome 
Teaching uniportal video-assisted thoracic surgery in Rome
Elisa Meacci, Dania Nachira, Maria Teresa Congedo, Stefano Margaritora
PDF HTML

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

Innovations in Thoracic Aortic Aneurysm Surgery More >>
Minimally Invasive Cardiac Surgery More >>
VATS and RATS lobectomy up to date: clinical and experimental evidences More >>
Surgical Technique on Thoracic Surgery 
Carinal resection: technical tips
Monica Casiraghi, Alessio Vincenzo Mariolo, Domenico Galetta, Francesco Petrella, Daniela Brambilla, Lorenzo Spaggiari
Journal of Visualized Surgery  
2018 , 
4:
122  
Review Article on Mediastinal Surgery 
Advantages of and problems encountered with UICC version 8 TNM staging system for thymic epithelial tumors
Meinoshin Okumura
Journal of Visualized Surgery  
2018 , 
4:
121  
Surgical Technique on Mediastinal Surgery 
Subxiphoid robotic thymectomy for myasthenia gravis
Takashi Suda
Journal of Visualized Surgery  
2018 , 
4:
120  
Perspective on Mediastinal Surgery 
Novel perspectives in the surgical treatment of posterior mediastinal masses
Peter S. Y. Yu, Calvin S. H. Ng
Journal of Visualized Surgery  
2018 , 
4:
119  
Case Report on Cardiac Surgery 
Open surgical repair for the removal of an Amplatzer™ device
Vicente Orozco-Sevilla, Scott A. Weldon, Scott A. LeMaire, Ourania Preventza, Kim I. de la Cruz, Joseph S. Coselli
Journal of Visualized Surgery  
2018 , 
4:
118  
Surgical Technique on Thoracic Surgery 
Robotic assisted sleeve lobectomy with the use of barbed sutures
Jan-Hendrik Egberts, Thorben Möller, Charlotte Hauser, Jan-Henrik Beckmann, Mark Schlemminger, Thomas Becker
Journal of Visualized Surgery  
2018 , 
4:
117  
Case Report on Cardiac Surgery 
Endovascular repair of ascending aorta pseudoaneurysm
Luca Di Marco, Luigi Lovato, Giacomo Murana, Ciro Amodio, Francesco Buia, Roberto Di Bartolomeo, Davide Pacini
Journal of Visualized Surgery  
2018 , 
4:
116  
Surgical Technique on Thoracic Surgery 
Robot-assisted en bloc anterior mediastinal mass excision with pericardium and adjacent lung for locally advanced thymic carcinoma
Hee Chul Yang, Garrett Coyan, Matthew Vercauteren, Neha Reddy, James D. Luketich, Inderpal S. Sarkaria
Journal of Visualized Surgery  
2018 , 
4:
115  
Original Article on Thoracic Surgery 
Thoracoscopic management of early stages of empyema: is this the golden standard?
Hany Hasan Elsayed, Ahmed Mostafa, Essam Fathy, Haytham S. Diab, Ibrahim Mostafa Nofal, Osama Abbas AbdelHamid, Hatem Yazeed El-Bawab, Ahmed A. ElNori
Journal of Visualized Surgery  
2018 , 
4:
114  
Case Report on Thoracic Surgery 
Robotic resection of a middle mediastinal mass
Marco Nardini, Joel Dunning, Marcello Migliore, Robert J. Cerfolio
Journal of Visualized Surgery  
2018 , 
4:
113  
Erratum 
Erratum to a glance at the history of uniportal video-assisted thoracic surgery
Editorial Team
Journal of Visualized Surgery  
2018 , 
4:
112  
Case Report on Thoracic Surgery 
Unilateral pulmonary vein atresia without anomalous connection in adult patient with recurrent severe hemoptysis
Andrea Dell’Amore, Alessio Campisi, Stefano Congiu, Domenica Giunta, Giampiero Dolci, Fabio Niro
Journal of Visualized Surgery  
2018 , 
4:
111  
Review Article on Thoracic Surgery 
Treatment of malignant pleural effusion
Ricardo Mingarini Terra, Alberto Jorge Monteiro Dela Vega
Journal of Visualized Surgery  
2018 , 
4:
110  
Surgical Technique on Thoracic Surgery 
Four arms robotic-assisted pulmonary resection—left upper lobectomy: how to do it
Alessandro Pardolesi, Luca Bertolaccini, Jury Brandolini, Piergiorgio Solli, Pierluigi Novellis, Giulia Veronesi
Journal of Visualized Surgery  
2018 , 
4:
109  
Review Article on Thoracic Surgery 
Aberrant subclavian: new face of an old disease
Saleem Jahangeer, Mohamad Bashir, Amer Harky, John Yap
Journal of Visualized Surgery  
2018 , 
4:
108  
Viewpoint on Thoracic Surgery 
From “open” to robotic assisted thoracic surgery: why RATS and not VATS?
Sara Ricciardi, Federico Davini, Carmelina Cristina Zirafa, Franca Melfi
Journal of Visualized Surgery  
2018 , 
4:
107  
Editorial on Pancreatic Surgery 
Pattern, timing, and predictors of recurrence following pancreatectomy for pancreatic ductal adenocarcinoma: how do they matter?
Charing C. N. Chong
Journal of Visualized Surgery  
2018 , 
4:
106  
Review Article on Thoracic Surgery 
Hybrid robotic thoracic surgery for excision of large mediastinal masses
Dario Amore, Marcellino Cicalese, Roberto Scaramuzzi, Davide Di Natale, Dino Casazza, Carlo Curcio
Journal of Visualized Surgery  
2018 , 
4:
105  
Original Article on Thoracic Surgery 
The influence of the trocar choice on post-operative acute pain after thoracoscopy
Andrea Dell’Amore, Alessio Campisi, Domenica Giunta, Stefano Congiu, Niccolò Daddi, Giampiero Dolci, Niccolò Barbera, Letizia Bacchi Reggiani
Journal of Visualized Surgery  
2018 , 
4:
104  
Case Report on Thoracic Surgery 
Novel extra-thoracic VATS minimally invasive technique for management of multiple rib fractures
Natalie N. Merchant, Osita Onugha
Journal of Visualized Surgery  
2018 , 
4:
103  
Case Report on Colorectal Surgery 
Transcaval transcatheter aortic valve replacement: a visual case review
Kamran I. Muhammad, Georgianne C. Tokarchik
Journal of Visualized Surgery  
2018 , 
4:
102  
Original Article on Cardiac Surgery 
Bicuspid aortic valve repair in the setting of severe aortic insufficiency
Ziv Beckerman, Michael O. Kayatta, LaRonica McPherson, Jose N. Binongo, Yi Lasanajak, Bradley G. Leshnower, Edward P. Chen
Journal of Visualized Surgery  
2018 , 
4:
101  
Brief Report on Cardiac Surgery 
Endoscopic Port AccessTM left ventricle outflow tract resection and atrioventricular valve surgery
Johan van der Merwe, Filip Casselman, Frank Van Praet
Journal of Visualized Surgery  
2018 , 
4:
100  
Case Report on Cardiac Surgery 
Aortic and mitral valve repair for anterior mitral leaflet perforation caused by severe aortic regurgitation
Kristof De Brabandere, Jens-Uwe Voigt, Stephen Rex, Bart Meuris, Peter Verbrugghe
Journal of Visualized Surgery  
2018 , 
4:
99  
Original Article on Cardiac Surgery 
The evidence in a Bentall procedure with Valsalva graft: is this standard of care?
Ziv Beckerman, Bradley G. Leshnower, LaRonica McPherson, Jose N. Binongo, Yi Lasanajak, Edward P. Chen
Journal of Visualized Surgery  
2018 , 
4:
98  
Preface 
Uniportal, single incision VATS for the skeptics
Marcello Migliore
Journal of Visualized Surgery  
2018 , 
4:
97  
Preface 
Made for each other
Alan D. L. Sihoe, Diego Gonzalez-Rivas
Journal of Visualized Surgery  
2018 , 
4:
96  
Perspective on Thoracic Surgery 
4D flow characterization of aortic blood flow after valve sparing root reimplantation procedure
Nicola Galea, Filippo Piatti, Christopher Lau, Francesco Sturla, Luca Weltert, Iacopo Carbone, Ruggero De Paulis, Mario Gaudino, Leonard N. Girardi
Journal of Visualized Surgery  
2018 , 
4:
95  
Review Article on Cardiac Surgery 
Biological solutions to aortic root replacement: valve-sparing versus bioprosthetic conduit
Ruggero De Paulis, Raffaele Scaffa, Andrea Salica, Luca Weltert, Ilaria Chirichilli
Journal of Visualized Surgery  
2018 , 
4:
94  
Surgical Technique on Gastrointestinal Surgery 
Using FloSeal® to control digestive bleeding in the distal large bowel
Francisco Javier Pérez Lara, Marta Conejo Porras, Jose Manuel Hernández González, Horacio Oliva Muñoz
Journal of Visualized Surgery  
2018 , 
4:
93