Samel S, Post S, Martell J, Becker H
Department of General Surgery, University of Göttingen, Germany.
J Laparoendosc Adv Surg Tech A. 1997 Aug;7(4):245-7. doi: 10.1089/lap.1997.7.245.
Laparoscopic cholecystectomy is associated with a considerable rate of infectious complications of up to 2.8%. Such infections are usually of minor clinical importance. However, we observed a case of life-threatening Clostridial gas gangrene centering around the right lateral port site and developing across all of the right-sided abdominal wall, causing septic shock and severe multi-organ failure. Considering the overall infection rate and the possibility of even severe morbidity, we advocate perioperative antibiotics in laparoscopic cholecystectomy.
