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A case of complete splenic infarction after laparoscopic spleen-preserving distal pancreatectomy

Overview of attention for article published in BMC Surgery, April 2018
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Title
A case of complete splenic infarction after laparoscopic spleen-preserving distal pancreatectomy
Published in
BMC Surgery, April 2018
DOI 10.1186/s12893-018-0353-z
Pubmed ID
Authors

Kenjiro Kimura, Go Ohira, Ryosuke Amano, Sadaaki Yamazoe, Ryota Tanaka, Jun Tauchi, Masaichi Ohira

Abstract

Laparoscopic spleen-preserving distal pancreatectomy (LSPDP), a newly developed operative procedure, is indicated for benign and low-grade malignant disease of the pancreas. However, few studies have reported on postoperative splenic infarction after LSPDP. We report a case of complete splenic infarction and obliteration of the splenic artery and vein after LSPDP. The patient was a 69-year-old woman with a 35-mm cystic tumor of the pancreatic body who underwent LSPDP. Although the operation was completed with preservation of the splenic artery and vein, postoperative splenic infarction was revealed with left back pain and fluid collection around the stump of the pancreas on postoperative day 9. Fortunately, clinical symptoms disappeared within days and additional splenectomy was not needed. Splenic infarction was attributed to scattered micro-embolizations within the spleen after drawing strongly on the tape encircling the splenic vessels. Preserving splenic vessels in LSPDP is a demanding procedure. To prevent splenic infarction in LSPDP, we should carefully isolate the pancreatic parenchyma from the splenic vessels, and must avoid drawing tightly on the vessel loop encircling splenic vessels.

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Geographical breakdown

Country Count As %
Unknown 14 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 3 21%
Other 2 14%
Professor > Associate Professor 2 14%
Student > Master 2 14%
Student > Bachelor 1 7%
Other 3 21%
Unknown 1 7%
Readers by discipline Count As %
Medicine and Dentistry 11 79%
Sports and Recreations 1 7%
Unspecified 1 7%
Unknown 1 7%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 April 2018.
All research outputs
#18,601,965
of 23,041,514 outputs
Outputs from BMC Surgery
#627
of 1,337 outputs
Outputs of similar age
#255,537
of 329,244 outputs
Outputs of similar age from BMC Surgery
#15
of 18 outputs
Altmetric has tracked 23,041,514 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,337 research outputs from this source. They receive a mean Attention Score of 1.8. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
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We're also able to compare this research output to 18 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.