My name is Diego Gonzalez Rivas, I'm thoracic surgeon working in Coruna, in the University Hospital of La Coruna and Unit of Thoracic Surgery Minimally Invasive belonging to three private hospitals in the city such as the Model Hospital, the Hospital San Rafael Hospital and Chiron.
I am in the treatment of pulmonary pathologies. Basically, what is more usually treat Lung Cancer. We specialize in minimally invasive surgery with a technique that we have developed here in La Coruna which we are pioneers in the world and that is the video surgery through a single incision, which is called"Single Port" ;, for treatment of lung Cancer. & quot;Mayor Pulmonary Surgery by a single incision."
We in the year 2007 went to America to learn to operate Video surgery, especially, Lung Cancer. The video surgery through several small incisions, which was the technique that since that time the United States is starting to have a lot of impact. We learned this technique in Los Angeles with Dr.. MacKenna and we started to make our Hospital.
After an experience with approximately one hundred cases and seeing that there was a Hospital, a center in the United States, it was Duke, which held only two incisions, the concern we had to go there to learn with Dr.. Damiko this could be done by reducing an incision. That is, by only two and put back into practice in our hospital with very good results.
So it is that in the Year 2010 after the previous experience with two incisions and after seeing that in recent cases, the technique with two-way, practically the vision we had was more direct if we we put the camera through the incision main job, what we did was to develop the technique for surgery through a single incision video, which is called"Single Port"or"," Single port,.
The main advantages of this technique, ie the technique by a single incision to the patient are:
One, first, we perform only a single incision, thus the chances of pain are less because only we open an intercostal space. It is less invasive for the patient because less immunological aggression occurs to be less traumatic assault on what the chest wall.
Apart from this there are a number of advantages for the surgeon and the vision is more anatomical and we reproduce the maneuvers we do in open surgery within the chest, through a single incision. The camera goes in the same direction as our instruments are. It's like we're doing an open surgery but within the chest through a cut and looking at a monitor. Because the vision, the camera and instruments are in the same direction, not so when we make several incisions antianatomico 's more, because the camera goes in one hole and the other instruments enter, thereby producing what is called a"plane torsion"to geometric and physical level.
We can not use a"Trocar" ;. A trocar is a tool used to get the camera when multiple incisions are used. Normally when plays the trocar, which is a kind of cylinder that protects the camera, always occurs more compression on the nerve. We will probably not use the possibilities Trocar nerve compression are lower.
For a few months we are doing surgery"Single Port"in patients without being intubated, which is called"," Patients with spontaneous breathing ;, which is to reduce still more the aggression that occurs during the surgical act. That is, it is not a machine that breathes for the patient during surgery, but the patient does, in a state of sedation. The patient is without knowing anything as if sleeping at night and keeps your breath, which it is much more beneficial to the patient because the postoperative recovery is higher, as we apply the techniques of muscle relaxants, drugs and drug used during general anesthesia.
Therefore this combination is revolutionary, have been pioneers in the world again, and we are now with this line of treatment to make a single incision rather Wee to intubate the patient to be more beneficial postoperatively.