DOI: https://doi.org/10.22141/1997-2938.2.37.2018.147841

Treatment of liver abscesses

V.V. Boyko, R.M. Smachylo, A.M. Tishchenko, A.V. Maloshtan, A.A. Maloshtan, Ye.V. Mushenko, O.V. Volchenko

Abstract


The analysis of treatment of 244 patients with single bacterial abscesses of liver in 1998–2018 was performed. The puncture-drainage and resection methods were used. Minimally invasive treatment methods are considered as highly effective. Resections in most cases were used as reserve methods, but quite often were accompanied by lower number of postoperative complications and hospital stay. During treatment, abdominal complications occurred in 39 (16.0 %) patients and 12 (4.9 %) patients died. The causes of failures in most cases were associated with inefficient starting method of treatment for each patient. A basis of successful treatment of single liver abscesses is the differentiated approach considering origin, sizes, localization and stage of abscess formation. According to this, surgical management should be escalating which consists in timely transition to resection methods in case of failure of minimally invasive interventions.

Keywords


liver abscess; puncture; aspiration; drainage; resection

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