Current trends in the treatment of liver abscesses

Bushlanov, P. S.; Мерзликин, Н. В.; Семичев, Е. В.; Цхай, В. Ф.

doi:10.24884/0042-4625-2018-177-6-87-90

Cited by 6 publications

(1 citation statement)

References 9 publications

(4 reference statements)

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“…According to researchers, the following factors can be distinguished in the origin of liver abscesses: laparotomy in the nearest anamnesis -51.3% of the total number of patients, cholangiogenic -18.5%, infected hematomas -6%, suppurative cysts -2%, idiopathic -22.2% [3,5,8]. According to most researchers, the lethality of microbial abscesses is high and is from 20 to 30%, while amoebic and opisthorous abscesses have a 26% and 15.5% lethality, respectively [11].…”

Section: Introductionmentioning

confidence: 99%

Surgical Strategy in the Treatment of Liver Abscesses

К.J. Matmurotov,

U.I. Pulatov,

S.Sh. Yakhshibaev

et al. 2023

Texa. Jour. of Medi. Scie.

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To date, despite various newly developed methods of surgical treatment for purulent liver diseases, the frequency of purulent complications and mortality remains high. In this study, the results of treatment for 31 patients with liver abscesses who underwent minimally invasive surgical interventions were analyzed. Along with drainage of the purulent cavity of the liver, patients simultaneously underwent long-term catheter therapy with catheterization of their own renal artery. Using this strategy, we managed to achieve favorable clinical outcomes in a short time.

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Section: Introductionmentioning

confidence: 99%

Surgical Strategy in the Treatment of Liver Abscesses

К.J. Matmurotov,

U.I. Pulatov,

S.Sh. Yakhshibaev

et al. 2023

Texa. Jour. of Medi. Scie.

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Elimination of bile leakage in liver injuries

Dzidzava,

Kotiv,

Pasichnik

et al. 2024

Ann. hir. gepatol.

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Aim. To study the causes and consequences of bile leakage in liver injury and determine the potential ways for its elimination. Materials and methods. The study involved a retrospective analysis of 204 liver injuries of various types. 26 % of cases were detected with isolated abdominal trauma, 74 % – with concomitant abdominal injury. According to the AAST grading scale, 15.7 % of patients got grade II liver injuries, 44.6 % – grade III, 34.3 % – grade IV, and 5.4 % – grade V. Since concomitant injuries predominated, surgical treatment was initially performed in the overwhelming number of cases. 14 % of cases received non-operative management. Results. The incidence of bile leakage amounted to 28.4 % for all liver injuries and reached 54.9 % for III–V grade injuries (AAST). Small bile leakage prevailed, while active leaking was observed in 36.2 %. Damage to peripheral parts of the biliary tract was noted in most cases (68 %). Conservative management of patients with small bile leakage associated with damage to peripheral parts of the biliary tract appeared successful in 48.5 % of cases. Endoscopic biliary drainage of bile ducts proved effective in case of active bile leakage and (or) injuries of the central bile ducts. Conclusion. Endoscopic biliary drainage of bile ducts is considered the most effective for elimination of active biliary leakage in the absence of biliary peritonitis and communication of biliary tract with pleural cavity.

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