Percutaneous drainage may help to optimise clinical condition prior to surgery. Laparoscopic drainage is a feasible surgical option with promising results in the future. Liver resection is reserved for concomitant localised intrahepatic disease and tumour, after control of sepsis.

2023年12月20日 · Surgical Drainage: Surgical drainage involves making an incision (surgical cut using a surgical blade) in the abdomen to directly access the liver abscess and drain it. This method is typically reserved for larger or more complicated abscesses or cases where percutaneous drainage is not feasible.

Surgical management of pyogenic liver abscess entails an individualized approach based on the underlying clinical condition and the source of the abscess. “Source control” is essential in the surgial treatment of pyogenic liver abscess. Laparotomy and surgical drainage is essential in eliminating the source of infection that seeded the liver.

Laparoscopic drainage stands halfway between open surgical and percutaneous drainage and usually reserved for selected cases such as those in which percutaneous option has failed or patients with large multiloculated abscesses.

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:

2022年3月1日 · In all studies, the procedure performed by laparoscopy was surgical drainage associated in some cases with cholecystectomy, common bile duct exploration, or hepatectomy. The meta-analysis showed a pooled postoperative rate of recurrent or residual liver abscess after treatment by laparoscopy of 4.22% (95% CI: 2.29–7.07).

2023年12月20日 · Laparoscopic drainage seems to be a safe and reproducible mini-invasive treatment of complex liver abscesses and to offer advantages over percutaneous and surgical open approach. Read...

2023年3月31日 · Laparoscopic drainage of liver abscesses, combined with intravenous antibiotics, is a safe alternative for patients requiring surgical drainage when medical treatment has failed.

2020年5月24日 · We performed surgical intervention to drain the amebic liver abscess refractory to conservative treatment. During surgery, imaging information from preoperative CT and IOUS enabled us to recognize the anatomical structures and determine the incision lines of the hepatic capsule and hepatic tissue.

Percutaneous drainage is effective in the treatment of solitary liver abscesses volume < 5 cm 3. Irregularly shaped abscesses are effectively drained with multisite drainage. Hybrid drainage (endoscopic and percutaneous) is a method of choice in the treatment of abscesses resulting from biliary duct obstruction.