Pyogenic liver abscess surgery: Difference between revisions
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==Drainage of Pyogenic Liver Abscess== | ==Drainage of Pyogenic Liver Abscess== | ||
The following methods are used for drainage of pyogenic liver abscess. | |||
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'''Percutaneous Drainage''' | |||
*The drainage method used depends on the size and number of abscesses.<ref name="pmid9530055">{{cite journal| author=Rajak CL, Gupta S, Jain S, Chawla Y, Gulati M, Suri S| title=Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage. | journal=AJR Am J Roentgenol | year= 1998 | volume= 170 | issue= 4 | pages= 1035-9 | pmid=9530055 | doi=10.2214/ajr.170.4.9530055 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9530055 }} </ref><ref name="pmid9413964">{{cite journal| author=Ch Yu S, Hg Lo R, Kan PS, Metreweli C| title=Pyogenic liver abscess: treatment with needle aspiration. | journal=Clin Radiol | year= 1997 | volume= 52 | issue= 12 | pages= 912-6 | pmid=9413964 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9413964 }} </ref><ref name="pmid15057896">{{cite journal| author=Yu SC, Ho SS, Lau WY, Yeung DT, Yuen EH, Lee PS et al.| title=Treatment of pyogenic liver abscess: prospective randomized comparison of catheter drainage and needle aspiration. | journal=Hepatology | year= 2004 | volume= 39 | issue= 4 | pages= 932-8 | pmid=15057896 | doi=10.1002/hep.20133 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15057896 }} </ref><ref name="pmid17715080">{{cite journal| author=Zerem E, Hadzic A| title=Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess. | journal=AJR Am J Roentgenol | year= 2007 | volume= 189 | issue= 3 | pages= W138-42 | pmid=17715080 | doi=10.2214/AJR.07.2173 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17715080 }} </ref> | *The drainage method used depends on the size and number of abscesses.<ref name="pmid9530055">{{cite journal| author=Rajak CL, Gupta S, Jain S, Chawla Y, Gulati M, Suri S| title=Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage. | journal=AJR Am J Roentgenol | year= 1998 | volume= 170 | issue= 4 | pages= 1035-9 | pmid=9530055 | doi=10.2214/ajr.170.4.9530055 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9530055 }} </ref><ref name="pmid9413964">{{cite journal| author=Ch Yu S, Hg Lo R, Kan PS, Metreweli C| title=Pyogenic liver abscess: treatment with needle aspiration. | journal=Clin Radiol | year= 1997 | volume= 52 | issue= 12 | pages= 912-6 | pmid=9413964 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9413964 }} </ref><ref name="pmid15057896">{{cite journal| author=Yu SC, Ho SS, Lau WY, Yeung DT, Yuen EH, Lee PS et al.| title=Treatment of pyogenic liver abscess: prospective randomized comparison of catheter drainage and needle aspiration. | journal=Hepatology | year= 2004 | volume= 39 | issue= 4 | pages= 932-8 | pmid=15057896 | doi=10.1002/hep.20133 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15057896 }} </ref><ref name="pmid17715080">{{cite journal| author=Zerem E, Hadzic A| title=Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess. | journal=AJR Am J Roentgenol | year= 2007 | volume= 189 | issue= 3 | pages= W138-42 | pmid=17715080 | doi=10.2214/AJR.07.2173 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17715080 }} </ref> | ||
*A single abscess with size less than 5 cm can be drained using either percutaneous catheter drainage or needle aspiration. | *A single abscess with size less than 5 cm can be drained using either percutaneous catheter drainage or needle aspiration. |
Revision as of 15:01, 27 February 2017
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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 | ||||||||||||||||||||||||
Percutaneous Drainage
- 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.[6][7]
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.
- ↑ Liao WI, Tsai SH, Yu CY, Huang GS, Lin YY, Hsu CW; et al. (2012). "Pyogenic liver abscess treated by percutaneous catheter drainage: MDCT measurement for treatment outcome". Eur J Radiol. 81 (4): 609–15. doi:10.1016/j.ejrad.2011.01.036. PMID 21330079.
- ↑ Tan YM, Chung AY, Chow PK, Cheow PC, Wong WK, Ooi LL; et al. (2005). "An appraisal of surgical and percutaneous drainage for pyogenic liver abscesses larger than 5 cm". Ann Surg. 241 (3): 485–90. PMC 1356988. PMID 15729072.