2010
DOI: 10.1007/s00276-010-0763-9
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Anatomical changes due to pneumoperitoneum analyzed by MRI: an experimental study in pigs

Abstract: Increasing abdominal pressure up to laparoscopic pressure (14 mmHg) provokes morphological changes in the liver, vascular structures and diaphragm. These changes could be related to functional alterations that different organs experience after the induction of pneumoperitoneum.

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Cited by 40 publications
(30 citation statements)
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“…The cranial displacement of the diaphragm could have caused a laceration of the adherence of the parietal pleura with the diaphragm. 3 A predisposing factor might be pneumonia, for which our patient was admitted to the hospital during childhood.…”
Section: Discussionmentioning
confidence: 98%
“…The cranial displacement of the diaphragm could have caused a laceration of the adherence of the parietal pleura with the diaphragm. 3 A predisposing factor might be pneumonia, for which our patient was admitted to the hospital during childhood.…”
Section: Discussionmentioning
confidence: 98%
“…The bleed was from a laceration of the parieto-diaphragmatic adherence, which was attributed to change in diaphragmatic position during pneumoperitoneum, as it has been demonstrated in animal models. [2]…”
Section: Discussionmentioning
confidence: 99%
“…This alignment consists in a rigid transformation (rotation and translation) and is therefore insufficient to initialise the registration correctly. Indeed, due to the gas insufflation, the pre-operative data (liver mesh from the segmented CT scans) geometrically differs form the intra-operative data (reconstructed patch) [44]. To solve this issue, we constraint the biomechanical model (including the vessels and the tumour) with external forces so that it fit better the recovered visible liver surface.…”
Section: System Initializationmentioning
confidence: 99%