Bonnard Arnaud, Terrasa Jean Baptiste, Viala Jerome, Aizenfisz Sophie, Berrebi Dominique, Ghoneimi Alaa El
Department of General Pediatric Surgery, Robert Debré Hospital, Paris, France.
Department of Pediatric Gastroenterology, Robert Debré Hospital, Paris, France.
European J Pediatr Surg Rep. 2014 Jun;2(1):67-70. doi: 10.1055/s-0033-1363777. Epub 2014 Mar 28.
Advantages of laparoscopic approach in Hirschsprung disease have been already published decreasing the hospital stay and postoperative adhesions. To our knowledge, we report the first case of postoperative abdominal cellulitis after laparoscopic procedure. A laparoscopic Duhamel pull through was done on a 3-month-old child. Full-thickness biopsy under laparoscopy was performed with intraperitoneal inoculation. Large peritoneal irrigation was used. Abdominal necrotizing cellulitis starting from a port site occurred few days after the procedure requiring repeat surgical excision, broad spectrum antibiotics, and hyperbaric oxygen.
腹腔镜手术治疗先天性巨结肠的优势已见诸报道，该方法可缩短住院时间并减少术后粘连。据我们所知，我们报道了首例腹腔镜手术后发生腹部蜂窝织炎的病例。对一名3个月大的儿童实施了腹腔镜下杜哈梅尔拖出术。腹腔镜下进行了全层活检并接种于腹腔内。采用了大量的腹腔冲洗。术后数天，从一个端口部位开始出现腹部坏死性蜂窝织炎，需要再次手术切除、使用广谱抗生素和高压氧治疗。
