Intraoperative liver deformation and organ motion caused by ventilation, laparotomy, and pneumoperitoneum in a porcine model for image-guided liver surgery.

Philipp A WiseAnas A PreukschasEmre ÖzmenNadine BellemannTobias NorajitraChristof M SommerChristian StockArianeb MehrabiBeat P Müller-StichHannes G KenngottFelix Nickel

Published in: Surgical endoscopy (2023)

Ventilation and application of pneumoperitoneum caused significant changes in liver position. Liver motion was reduced but clearly measurable during pneumoperitoneum. Intraoperative guidance/navigation systems should therefore account for ventilation and intraoperative changes of liver position and peripheral deformation.

Keyphrases

patients undergoing
minimally invasive
mechanical ventilation
respiratory failure
high resolution
high speed
acute respiratory distress syndrome
atrial fibrillation
surgical site infection