Document Detail


Laparoscopic drainage of pyogenic liver abscess.
MedLine Citation:
PMID:  21333200     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVES: Pyogenic liver abscesses are mainly treated by percutaneous aspiration or drainage under antibiotic cover. If interventional radiology fails, surgical drainage becomes necessary. Recently, we performed laparoscopic liver abscess drainage successfully, and we aimed to focus on the topic in light of a systematic review of the literature.
METHODS: A 22-year-old man was admitted with a 4.5-cm multiloculated abscess in the left lobe of the liver. The abscess did not resolve with antibiotic-alone therapy. Percutaneous aspiration was unsuccessful due to viscous and multiloculated contents. Percutaneous catheter placement was not amenable. Laparoscopic abscess drainage was preferred over open abscess drainage. We used 3 trocars, operation time was 40 minutes, and blood loss was minimal. In the mean time, we searched PubMed using the key words [(liver OR hepatic) abscess*] AND [laparoscop* OR (minimal* AND invasiv*)].
RESULTS: Postoperative recovery of the patient was uneventful, and the patient was asymptomatic after 3 months of follow-up. In the literature search, we found 53 liver abscesses (51 pyogenic and 2 amebic) that were treated by laparoscopy. Mean success rate was 90.5% (range, 85% to 100%) and conversion rate was zero.
CONCLUSION: Treatment of liver abscess is mainly percutaneous drainage. Laparoscopic drainage should be selected as an alternative before open drainage when other modalities have failed.
Authors:
Cemalettin Aydin; Turgut Piskin; Fatih Sumer; Bora Barut; Cuneyt Kayaalp
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons     Volume:  14     ISSN:  1086-8089     ISO Abbreviation:  JSLS     Publication Date:    2010 Jul-Sep
Date Detail:
Created Date:  2011-02-21     Completed Date:  2011-05-10     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  100884618     Medline TA:  JSLS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  418-20     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Drainage / methods*
Follow-Up Studies
Humans
Laparoscopy*
Liver Abscess, Pyogenic / diagnosis,  surgery*
Magnetic Resonance Imaging
Male
Tomography, X-Ray Computed
Young Adult
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