Treatment of liver abscesses

Authors

  • V.V. Boyko State Institution “V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine
  • R.M. Smachylo State Institution “V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine
  • A.M. Tishchenko State Institution “V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine
  • A.V. Maloshtan State Institution “V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine
  • A.A. Maloshtan State Institution “V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine
  • Ye.V. Mushenko State Institution “V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine
  • O.V. Volchenko State Institution “V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine

DOI:

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

Keywords:

liver abscess, puncture, aspiration, drainage, resection

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.

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Issue

Section

Original Researches