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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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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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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 >>
Review Article on Cardiac Surgery 
Cerebral perfusion issues in type A aortic dissection
Davide Pacini, Giacomo Murana, Luca Di Marco, Marianna Berardi, Carlo Mariani, Giuditta Coppola, Mariafrancesca Fiorentino, Alessandro Leone, Roberto Di Bartolomeo
Journal of Visualized Surgery  
2018 , 
4:
77  
Review Article on Cardiac Surgery 
Coarctation repair—redo challenges in the adults: what to do?
Erik Beckmann, Arminder S. Jassar
Journal of Visualized Surgery  
2018 , 
4:
76  
Review Article on Cardiac Surgery 
Type B aortic dissection: new perspectives
Marc A.A.M Schepens
Journal of Visualized Surgery  
2018 , 
4:
75  
Brief Report on Thoracic Surgery 
Uniportal video-assisted thoracic surgery treatment of intra-operative complications
Vasilios Tentzeris, Kostas Papagiannopoulos
Journal of Visualized Surgery  
2018 , 
4:
74  
Viewpoint on Cardiac Surgery 
Why to be cautious with the use of the frozen elephant trunk in acute type A aortic dissection
William J. Morshuis
Journal of Visualized Surgery  
2018 , 
4:
73  
Surgical Techniques on Pancreatic Surgery 
Robotic pancreas drainage procedure for chronic pancreatitis: robotic lateral pancreaticojejunostomy (Puestow procedure)
Adeel S. Khan, Imran Siddiqui, Dionisios Vrochides, John B. Martinie
Journal of Visualized Surgery  
2018 , 
4:
72  
Case Report on Robotic Surgery 
Robotic internal mammary lymphadenectomy: another possible minimally invasive approach to sampling lymph nodes in breast cancer patients
Alessandro Pardolesi, Luca Bertolaccini, Jury Brandolini, Piergiorgio Solli
Journal of Visualized Surgery  
2018 , 
4:
71  
Viewpoint on Cardiac Surgery 
Commissural repositioning in bicuspid aortic valve repair with Valsalva graft
Monica Contino, Andrea Mangini, Claudia Romagnoni, Carlo Antona
Journal of Visualized Surgery  
2018 , 
4:
70  
Perspective on Cardiac Surgery 
Endovascular treatment of acute Type A aortic dissection—the Endo Bentall approach
Maximilian Kreibich, Bartosz Rylski, Stoyan Kondov, Julia Morlock, Johannes Scheumann, Fabian A. Kari, Holger Schröfel, Matthias Siep, Friedhelm Beyersdorf, Martin Czerny
Journal of Visualized Surgery  
2018 , 
4:
69  
Review Article on Cardiac Surgery 
How can genetic diagnosis inform the decision of when to operate?
Maral Ouzounian, Scott A. LeMaire
Journal of Visualized Surgery  
2018 , 
4:
68  
Viewpoint on Vascular Surgery 
Novel reconstruction of a vascular aneurysm in Marfan syndrome
Xun Yuan, Andreas Mitsis, Christoph A. Nienaber
Journal of Visualized Surgery  
2018 , 
4:
67  
Original Article on Thoracic Surgery 
Advantages of wound retractor device versus rigid trocar at camera port in video-assisted thoracic surgery—a single institution experience
Federico Raveglia, Ugo Cioffi, Matilde De Simone, Alessandro Rizzi, Andrea Leporati, Carmine Tinelli, Marco Chiarelli, Alessandro Baisi
Journal of Visualized Surgery  
2018 , 
4:
66  
Review Article on Cardiac Surgery 
Malperfusion syndromes in type A aortic dissection: what we have learned from IRAD
Paolo Berretta, Santi Trimarchi, Himanshu J. Patel, Thomas G. Gleason, Kim A. Eagle, Marco Di Eusanio
Journal of Visualized Surgery  
2018 , 
4:
65  
Original Article on Pancreatic Surgery 
Pancreaticoduodenectomy: minimizing the learning curve
Levan Tsamalaidze, John A. Stauffer
Journal of Visualized Surgery  
2018 , 
4:
64  
Case Report on Thoracic Surgery 
Uniportal thoracoscopic resection of intralobar and extralobar pulmonary sequestration
Andrea Dell’Amore, Domenica Giunta, Alessio Campisi, Stefano Congiu, Giampiero Dolci, Niccolò Antonino Barbera, Roberto Agosti, Francesco Buia
Journal of Visualized Surgery  
2018 , 
4:
63  
Original Article on Thoracic Surgery 
Adult pulmonary intralobar sequestrations: changes in the surgical management
Akram Traibi, Agathe Seguin-Givelet, Emmanuel Brian, Madalina Grigoroiu, Dominique Gossot
Journal of Visualized Surgery  
2018 , 
4:
62  
Review Article on Cardiac Surgery 
Hybrid thoracoabdominal aortic aneurysm repair: is the future here?
Vicente Orozco-Sevilla, Scott A. Weldon, Joseph S. Coselli
Journal of Visualized Surgery  
2018 , 
4:
61  
Review Article on Cardiac Surgery 
Aortic valve insufficiency in aortic root aneurysms: consider every valve for repair
Talal Al-Atassi, Munir Boodhwani
Journal of Visualized Surgery  
2018 , 
4:
60  
Original Article on Cardiac Surgery 
Conservative management versus endovascular or open surgery in the spectrum of type B aortic dissection
Xun Yuan, Andreas Mitsis, Mohammed Ghonem, Ilias Iakovakis, Christoph A. Nienaber
Journal of Visualized Surgery  
2018 , 
4:
59  
Surgical Technique on Gastrointestinal Surgery 
Laparoscopic repair of multiple incisional hernias in a single midline incision by double composite mesh
Xuefei Yang, Li Jiang, Yue Li, Jingsi Liu, Joe King-Man Fan
Journal of Visualized Surgery  
2018 , 
4:
58  
Review Article on Thoracic Surgery 
Extended uniportal video-assisted thoracic surgery for lung cancer: is it feasible?
Iñigo Royo-Crespo, Arthur Vieira, Paula A. Ugalde
Journal of Visualized Surgery  
2018 , 
4:
57  
Case Report on Thoracic Surgery 
Video-assisted thoracoscopic PlasmaJet ablation for malignant pleural mesothelioma
Periklis Perikleous, Nizar Asadi, Vladimir Anikin
Journal of Visualized Surgery  
2018 , 
4:
56  
Case Report on Thoracic Surgery 
Uniportal video-assisted removal of a right paratracheal pericardial cyst: an unusual location
Andrea Dell’Amore, Alessio Campisi, Domenica Giunta, Stefano Congiu, Giampiero Dolci, Roberto Agosti
Journal of Visualized Surgery  
2018 , 
4:
55  
Case Report on Gastrointestinal Surgery 
Gastric inflammatory fibroid polyp tumor with acute intestinal obstruction—Vanek’s tumor can mimick a giant gastrointestinal stromal tumor or a gastric lymphoma
Francesco Fleres, Carmelo Mazzeo, Antonio Ieni, Maurizio Rossitto, Eugenio Cucinotta
Journal of Visualized Surgery  
2018 , 
4:
54  
Review Article on Thoracic Surgery 
Reasons for conversion during VATS lobectomy: what happens with increased experience
Dario Amore, Davide Di Natale, Roberto Scaramuzzi, Carlo Curcio
Journal of Visualized Surgery  
2018 , 
4:
53  
Meet the Professor 
James D. Luketich: future for esophageal cancer patients is bright with growing technology and better therapy
Skylar Gao, Pengcheng Lee
Journal of Visualized Surgery  
2018 , 
4:
52  
Case Report on Thoracic Surgery 
Capsaicin patch for persistent postoperative pain after thoracoscopic surgery, report of two cases
Nicola Tamburini, Giacomo Bollini, Carlo Alberto Volta, Giorgio Cavallesco, Pio Maniscalco, Savino Spadaro, Francesco Qurantotto, Riccardo Ragazzi
Journal of Visualized Surgery  
2018 , 
4:
51  
Perspective on Cardiac Surgery 
Simple retrograde cerebral perfusion is as good as complex antegrade cerebral perfusion for hemiarch replacement
Akiko Tanaka, Anthony L. Estrera
Journal of Visualized Surgery  
2018 , 
4:
50  
Viewpoint on Cardiac Surgery 
Con: “Debate: does every ascending aorta repair require at least an open distal anastomosis at the innominate? Or not?”
Kenji Minatoya
Journal of Visualized Surgery  
2018 , 
4:
49  
Case Report on Thoracic Surgery 
Robot-assisted thoracoscopic right upper bi-lobectomy for pulmonary tuberculosis
Piotr Yablonskii, Grigorii Kudriashov, Larisa Kiryukhina, Armen Avetisyan
Journal of Visualized Surgery  
2018 , 
4:
48