Laparoscopic drainage of liver abscesses

The British Journal of Surgery
K H TayH C Chng

Abstract

The mainstay of the management of liver abscesses has been intravenous antibiotics and radiologically guided percutaneous drainage. However, not all abscesses are treated successfully in this way, and some require surgical drainage. Laparoscopic drainage of liver abscesses may be an alternative to open surgical drainage. Twenty consecutive patients with liver abscesses treated by laparoscopic drainage in combination with intravenous antibiotics were studied prospectively. Fifteen had had failed percutaneous drainage previously. There were 13 right lobe and seven left lobe abscesses ranging from 6 to 25 cm in diameter. Mean operating time was 38 min. Seventeen patients were drained successfully. Three patients developed recurrent symptoms of which two resolved with conservative measures, but one required a second laparoscopic procedure. There were no intraoperative or other postoperative complications in the 20 patients. Follow-up ranged from 5 to 12 months. Laparoscopic drainage of liver abscesses, in combination with systemic antibiotics, is a safe and viable alternative in all patients who require surgical drainage following failed medical or percutaneous treatment, and in those with large abscesses.

References

Aug 1, 1992·Archives of Surgery·N J SoperS W Ashley
May 1, 1989·Archives of Surgery·J L CohenD J Schoetz
Apr 6, 1985·Lancet·S J McCorkell, N L Niles
Sep 1, 1988·The British Journal of Surgery·O FargesH Bismuth
Jul 17, 1982·Lancet·T AtkinsonP M Sutton
Sep 1, 1984·Annals of Surgery·B W Miedema, P Dineen
Feb 1, 1982·AJR. American Journal of Roentgenology·E KuligowskaJ H Shapiro
May 1, 1993·The British Journal of Surgery·I M Macintyre, R G Wilson

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Citations

Mar 16, 2013·Surgical Endoscopy·Liza TanStephen Chang
Sep 15, 2000·Infectious Disease Clinics of North America·E C JohannsenL C Madoff
Nov 20, 1998·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Apr 24, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Cuneyt KayaalpGurel Nessar
Nov 18, 2011·World Journal of Gastroenterology : WJG·Jin-Fu TuFei-Zhao Jiang
Feb 22, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Cemalettin AydinCuneyt Kayaalp
Oct 16, 2012·Journal of Surgical Technique and Case Report·Christopher N EkwunifeIfeanyi C Ukaha
Jun 23, 2015·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Christian D KlinkUlf P Neumann
Apr 25, 2006·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Ya-Fei YangChiu-Ching Huang
Feb 9, 2008·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Secundino CigarránJesus Saavedra
Feb 7, 2006·Current Problems in Surgery·S Scott DavisW Scott Melvin
Nov 19, 2003·Tropical Doctor·R B SinghNevil M Pavithran

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