Pyogenic liver abscess surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Drainage of Pyogenic Liver Abscess
The following methods are used for drainage of pyogenic liver abscess.
Drainage | |||||||||||||||||||||||||
Percutaneous drainage | Open surgical drainage | Endoscopic retrograde cholangiopancreatography (ERCP) | |||||||||||||||||||||||
CT guided | Ultrasound guided | ||||||||||||||||||||||||
- The drainage method used depends on the size and number of abscesses.[1][2][3][4]
- A single abscess with size less than 5 cm can be drained using either percutaneous catheter drainage or needle aspiration.
- If the abscess size is more than 5 cm, percutaneous catheter drainage is preferred over needle aspiration.[4][5]
- The catheters are placed until the drainage is minimal or upto 7 days.
References
- ↑ Rajak CL, Gupta S, Jain S, Chawla Y, Gulati M, Suri S (1998). "Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage". AJR Am J Roentgenol. 170 (4): 1035–9. doi:10.2214/ajr.170.4.9530055. PMID 9530055.
- ↑ Ch Yu S, Hg Lo R, Kan PS, Metreweli C (1997). "Pyogenic liver abscess: treatment with needle aspiration". Clin Radiol. 52 (12): 912–6. PMID 9413964.
- ↑ Yu SC, Ho SS, Lau WY, Yeung DT, Yuen EH, Lee PS; et al. (2004). "Treatment of pyogenic liver abscess: prospective randomized comparison of catheter drainage and needle aspiration". Hepatology. 39 (4): 932–8. doi:10.1002/hep.20133. PMID 15057896.
- ↑ 4.0 4.1 Zerem E, Hadzic A (2007). "Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess". AJR Am J Roentgenol. 189 (3): W138–42. doi:10.2214/AJR.07.2173. PMID 17715080.
- ↑ Mohsen AH, Green ST, Read RC, McKendrick MW (2002). "Liver abscess in adults: ten years experience in a UK centre". QJM. 95 (12): 797–802. PMID 12454322.