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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 Australia
Initial experience in uniportal video-assisted thoracoscopic surgery (VATS) for major lung resections—Australia’s first uniportal VATS teaching program
Rajeev Shukla, Sriram Vijayapuri, Mohammad Rahnavardi, Stephen A. Barnett, Gavin M. Wright
PDF HTML

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
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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
PDF HTML

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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Uniportal VATS lobectomies—masterclass in Bratislava
Miroslav Janik, Peter Juhos
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Teaching Uniportal VATS in Singapore
 The inaugural SingHealth uniportal video-assisted thoracoscopic surgery masterclass in Singapore
Boon-Hean Ong, Diego Gonzalez-Rivas 
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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 
PDF 
This is life—the journey of a pioneer surgeon on a new approach to thoracic Surgery More >>
Editorial Commentary 
Presidential Lecture of the Japanese Association for Chest Surgery in 2019
Masayuki Chida
Journal of Visualized Surgery  
2020;
6:
24  
Case Report 
Uniportal subxiphoid approach for resection of an intra-thymic parathyroid adenoma: a case report
Massimo Castiglioni, Wolfram Karenovics, Frédéric Triponez, Benoît Bédat
Journal of Visualized Surgery  
2020;
6:
23  
Case Report 
Hiatal repair in Ivor Lewis minimally invasive esophagectomy: a case report
Xu-Heng Chiang, Ke-Cheng Chen, Pei-Ming Huang, Pei-Wen Yang, Mong-Wei Lin, Jang-Ming Lee
Journal of Visualized Surgery  
2020;
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22  
Review Article 
Diagnostic imaging pathways in the setting of acute chest wall trauma
Carlos Galvez, Juan Arenas-Jimenez, Jone Del Campo, Sergio Maroto, Marina Sirera, Francisco Lirio
Journal of Visualized Surgery  
2020;
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21  
Review Article 
Extended pleurectomy and decortication with resection and reconstruction of pericardium and hemidiaphragm for malignant pleural mesothelioma
Raphael S. Werner, Claudio Caviezel, Olivia Lauk, Isabelle Opitz
Journal of Visualized Surgery  
2020;
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20  
Review Article 
The role of a multidisciplinary team in chest wall trauma management
Davide Patrini, David Lawrence, Savvas Lampridis, Fabrizio Minervini, Lorenzo Giorgi, Roberto Palermo, Martin Hayward, Marco Scarci, Joachim Schmidt, Benedetta Bedetti
Journal of Visualized Surgery  
2020;
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19  
Review Article 
Chest wall pain management after chest wall trauma
Federica Lovisari, Martina Favarato, Ilaria Giovannini, Riccardo Giudici, Roberto Fumagalli
Journal of Visualized Surgery  
2020;
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18  
Review Article 
Semirigid penile prosthesis: technique and review of literature
Garrick M. Greear, Fady M. Ghali, Tung-Chin Hsieh
Journal of Visualized Surgery  
2020;
6:
17  
Review Article 
Surgical fixation of rib fractures: how I do it
Gregor J. Kocher, Mohammad Al-Hurani, Fabrizio Minervini
Journal of Visualized Surgery  
2020;
6:
16  
Original Article 
Surgical treatment of synchronous multiple lung adenocarcinomas: experiment of 171 cases
Koei Ikeda, Kosuke Fujino, Yoshiko Masuda, Makoto Suzuki
Journal of Visualized Surgery  
2020;
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15  
Editorial 
Chest wall trauma: a true challenge for thoracic surgeons
Fabrizio Minervini, Marco Scarci
Journal of Visualized Surgery  
2020;
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Editorial 
A roadmap for valve repair surgery
Filip Casselman, Johan van der Merwe
Journal of Visualized Surgery  
2020;
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13  
Editorial 
Summary of 36th Annual Conference of Japanese Association for Chest Surgery (JACS)
Meinoshin Okumura
Journal of Visualized Surgery  
2020;
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12  
Original Article 
A novel procedure of thoracoscopic 4L lymph node dissection: 4L posterior first technique
Junji Ichinose, Yosuke Matsuura, Masayuki Nakao, Mingyon Mun
Journal of Visualized Surgery  
2020;
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11  
Review Article 
Prospects of 3D-printed sternum prostheses: a review
Dany Balke, Varun Gupta, Stefan Welter
Journal of Visualized Surgery  
2020;
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Review Article 
Penetrating chest trauma
Dominique Lisa Birrer, Sorin Edu, Andrew Nicol, Valentin Neuhaus
Journal of Visualized Surgery  
2020;
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Review Article 
Pediatric chest trauma: a unique challenge
Fabrizio Minervini, Marco Scarci, Gregor J. Kocher, Peter B. Kestenholz, Pietro Bertoglio
Journal of Visualized Surgery  
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Review Article 
Surgical management of rib fractures in chest wall trauma
Fabrizio Minervini, Peter B. Kestenholz, Pietro Bertoglio, Marco Scarci, Gregor J. Kocher
Journal of Visualized Surgery  
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Review Article 
Autoimmune diseases associated with thymoma
Motoki Yano
Journal of Visualized Surgery  
2020;
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6  
Review Article 
Preparation and operative setup of penile prosthesis surgery
Daniel Szabo, Lawrence C. Jenkins
Journal of Visualized Surgery  
2020;
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Review Article 
Surgical or conservative management of post intubation tracheal injury: when and how?
Sara Mantovani, Camilla Poggi, Massimiliano Bassi, Sara Cagnetti, Marco Anile, Federico Venuta
Journal of Visualized Surgery  
2020;
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Review Article 
Concepts and techniques of bicuspid aortic valve repair
Ulrich Schneider, Irem Karliova, Christian Giebels, Tristan Ehrlich, Hans-Joachim Schäfers
Journal of Visualized Surgery  
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Case Report 
Reconstruction surgery case report: ex vivo surgery and auto lung transplantation for pulmonary artery sarcoma
Daisuke Nakajima, Sou Miyahara, Hiroshi Date
Journal of Visualized Surgery  
2020;
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Case Report 
Inflatable penile prosthesis and penile plication in patients with Peyronie’s disease
Juan D. Cedeno, Billy H. Cordon
Journal of Visualized Surgery  
2020;
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News 
Application of the CARE guideline as reporting standard in the Journal of Visualized Surgery
Editorial Office
Journal of Visualized Surgery  
2019;
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80  
Review Article on Cardiac Surgery 
Aortic valve repair in type A aortic dissection
Alessandro Leone, Giacomo Murana, Luca Di Marco, Luca Botta, Marianna Berardi, Antonino Costantino, Davide Pacini
Journal of Visualized Surgery  
2019;
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Review Article on Cardiac Surgery 
Transcatheter approaches for mitral valve regurgitation
Juri Sromicki, Luca Vicentini, Mizuki Miura, Alberto Pozzoli, Mathias Van Hemelrijck, Maurizio Taramasso, Francesco Maisano
Journal of Visualized Surgery  
2019;
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78  
Review Article on Thoracic Surgery 
Ivor Lewis robotic assisted minimally invasive esophagectomy: different approaches
Matthew C. Black, Nicholas R. Hess, Olugbenga T. Okusanya, James D. Luketich, Inderpal S. Sarkaria
Journal of Visualized Surgery  
2019;
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77  
Review Article on Thoracic Surgery 
VATS anatomical resection (lobectomy or segmentectomy) for pulmonary metastasis
Stéphane Renaud, Michel Gonzalez, Pierre-Emmanuel Falcoz
Journal of Visualized Surgery  
2019;
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76  
Review Article on Cardiac Surgery 
Techniques in trileaflet aortic valve repair
Mohammed Morjan, Saadallah Tamer, Gaby Aphram, Laurent de Kerchove, Gebrine El Khoury
Journal of Visualized Surgery  
2019;
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75  

Review Article on Thoracic Surgery

Robotic substernal esophageal bypass and reconstruction with gastric conduit—frequently overlooked minimally invasive option
Roman V. Petrov, Charles T. Bakhos, Abbas E. Abbas