Role and outcome of conventional surgery in the treatment of pyogenic liver abscess in the modern era of minimally invasive therapy.

World Journal of Gastroenterology : WJG
Simon Siu-Man NgPaul Bo-San Lai

Abstract

To evaluate the role and outcome of conventional surgery in the treatment of pyogenic liver abscess in the modern era of minimally invasive therapy. The medical records of thirteen patients with pyogenic liver abscess who underwent surgical treatment between January 1995 and December 2002 were retrospectively reviewed to determine the clinical presentation, indication and nature of surgery, and outcome of surgery. The patients were predominantly women (10/13) with a mean age of 65 +/- 17 years. Their main presenting symptoms were abdominal pain (100%) and fever (77%). The aetiologies included biliary (n = 6), cryptogenic (n = 3), portal (n = 2), and trauma (n = 2). Seven patients underwent percutaneous drainage as the initial treatment. Of these, three patients developed peritonitis secondary to peritoneal spillage. Another four patients failed to respond because of multiloculation. Salvage surgery was required in these patients. Six patients proceeded to straight laparotomy: two had marked sepsis and multiloculated abscess that precluded percutaneous drainage, and four presented with peritonitis of uncertain pathology. Surgical procedures included deroofment and drainage (n = 9), liver resection (n = 3), peritoneal lavage (n =...Continue Reading

References

May 1, 1991·World Journal of Surgery·K T LeeC G Ker
Jul 1, 1990·Revista médica de Chile·M FernándezJ Yarmuch
Jul 1, 1990·World Journal of Surgery·H A Pitt
Jul 1, 1990·World Journal of Surgery·K P Wong
Nov 1, 1994·World Journal of Surgery·H J MischingerE Deu
Jul 1, 1994·The British Journal of Surgery·K YanagaK Sugimachi
May 1, 1996·Annals of Surgery·C J HuangG D Zuidema
Sep 1, 1996·The British Journal of Surgery·R RintoulO J Garden
Apr 16, 1998·Surgical Endoscopy·J MarksP Fabiani
Mar 13, 1999·The Australian and New Zealand Journal of Surgery·M S BarakateD M Sheldon
Aug 27, 1999·Gastrointestinal Endoscopy·Y H LamS S Chung
Jun 27, 2001·American Journal of Surgery·J A Alvarez PérezJ I Jorge
Aug 9, 2002·Journal of Gastroenterology and Hepatology·Wai-Man WongChing Lung Lai
Mar 31, 2004·Surgery Today·Weu WangMing-Te Huang
Apr 2, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Simon C H YuConstantine Metreweli
Jun 14, 2005·World Journal of Surgery·Paulo HermanMarcel C C Machado

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Citations

May 27, 2010·World Journal of Gastroenterology : WJG·Herwig Cerwenka
Nov 18, 2011·World Journal of Gastroenterology : WJG·Jin-Fu TuFei-Zhao Jiang
Oct 16, 2012·Journal of Surgical Technique and Case Report·Christopher N EkwunifeIfeanyi C Ukaha
Mar 17, 2010·Medicina clínica·José Regalado de Los Cobos, Juan Miguel Cía Ruiz
Nov 21, 2008·Gastroentérologie Clinique Et Biologique·L ChicheB Alkofer
Oct 24, 2014·Journal of Hepato-biliary-pancreatic Sciences·Joseph Zhi Wen LoWinston Wei Liang Woon
Oct 13, 2010·The Journal of Trauma·Yuan-Pin HsuCheng-Jueng Chen

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