Abstract
The purpose of this study was to identify the details of percutaneous catheter drainage (PCD) of pyogenic liver abscesses, the etiologic factors, and the management techniques that contribute to successful treatment. The records of 75 consecutively registered patients who underwent PCD of 96 abscesses at a single institution between May 2009 and May 2014 were retrospectively reviewed. Thirty-nine patients (52%) were oncology patients, and 36 (48%) had recently undergone abdominal surgery. Primary success was defined as abscess healing with the primary PCD intervention and 30-day postdrainage survival. Salvage success was defined as abscess healing with follow-up secondary PCD placement for symptomatic hepatic satellite collections or for clinical recurrence. Catheter adjustments were performed during follow-up to optimize existing drains. Univariate, multivariate, and general linear mixed model analyses were performed. The median follow-up time after catheter removal was 6 months (range, 2-62 months). Drains were primarily successful in 54 patients (72%), and 17 patients (23%) needed salvage PCD; thus, overall success was achieved in 71 patients (95%). The other four patients (5%) died of sepsis. The primary success rate was re...Continue Reading
References
Aug 1, 1991·Archives of Surgery·S C StainH W Brien
Sep 1, 1988·The British Journal of Surgery·O FargesH Bismuth
Mar 1, 1985·AJR. American Journal of Roentgenology·R D JohnsonJ Wittenberg
Apr 1, 1985·American Journal of Surgery·S G GerzofD C Nabseth
Sep 1, 1984·Medicine·M I McDonaldD T Durack
May 1, 1984·Radiology·E vanSonnenbergJ T Ferrucci
Mar 1, 1996·Medicine·R K Seeto, D C Rockey
Mar 13, 1999·The Australian and New Zealand Journal of Surgery·M S BarakateD M Sheldon
Jun 22, 2000·Statistics in Medicine·R C LittellR Natarajan
Jun 27, 2001·American Journal of Surgery·J A Alvarez PérezJ I Jorge
Dec 4, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Joseph RahimianRobert S Holzman
Feb 25, 2005·Annals of Surgery·Yu-Meng TanKhee-Chee Soo
Aug 24, 2007·AJR. American Journal of Roentgenology·Enver Zerem, Amir Hadzic
Mar 4, 2008·Journal of Clinical Epidemiology·Erik von ElmUNKNOWN STROBE Initiative
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·N W PearceG J Toogood
Mar 14, 2008·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·G FerraioliC Filice
Jun 30, 2009·Journal of Vascular and Interventional Radiology : JVIR·Chang-Hsien LiuPeter R Mueller
Jun 1, 2010·Journal of the American College of Surgeons·James J MezhirKaren T Brown
Apr 8, 2011·World Journal of Gastroenterology : WJG·Tony C Y PangRoss C Smith
Aug 10, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shiuan-Chih ChenMeng-Chih Lee
Apr 27, 2012·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Barbara AlkoferLaurence Chiche
Jul 17, 2012·American Journal of Surgery·Kuang-Chi LaiMeng-Chih Lee
Jan 22, 2013·Pulmonary Pharmacology & Therapeutics·Parveen KumarSarman Singh
Oct 2, 2013·The Indian Journal of Surgery·Dhaval O MangukiyaSaurabh T Gupta
Oct 24, 2014·Journal of Hepato-biliary-pancreatic Sciences·Joseph Zhi Wen LoWinston Wei Liang Woon
Jun 3, 2015·American Journal of Surgery·Saleem AhmedVishal G Shelat
Citations
Jun 17, 2020·Acute Medicine & Surgery·Tomoyuki AraiTakashi Shibui
Jul 18, 2020·BMC Infectious Diseases·Shuangjun HeYi Chen
Feb 27, 2018·Medicine·Liang ZhangShengZhang Lin
Apr 23, 2021·Seminars in Interventional Radiology·Robert Wolf, Sara Smolinski-Zhao
Apr 24, 2021·International Journal of Surgery Case Reports·K El HattabiA Fadil
Dec 30, 2021·Abdominal Radiology·Tanya YadavAmar Mukund