Laparoscopic drainage of cryptogenic liver abscess

Abstract

Laparoscopic drainage of cryptogenic liver abscesses should be considered as an option for drainage of liver abscess.

Liver Abscess in Children

“…Soft drains are placed through one of the port sites into the cavity, which are removed once drain output becomes negligible. 37,38 Although largely obviated by minimally invasive techniques, open surgery still plays a role in the management of some patients and may be necessary in cases where there is generalized peritonitis or rupture, especially when collections are not percutaneously accessible. 2,4,9,12 Nonresponders to percutaneous treatment and patients whose fistulae are not responding to conservative therapy will also require open surgical drainage.…”

Laparoscopy may have a role in the drainage of liver abscess: Early experience at Owerri, Nigeria

“…On one hand it helps in the early return of gastrointestinal function and resumption of normal activities; on the other hand it potentially achieves a better abscess drainage. [ 12 13 ] More importantly laparoscopic drainage has been shown to be safe. There was neither mortality nor conversion to open surgery in our series, which is in line with other reports in the literature.…”

“…There was neither mortality nor conversion to open surgery in our series, which is in line with other reports in the literature. [ 12 14 ] Adequate patient selection may partly be accountable for the very good results.…”

“…The procedure can have uncommon but serious complications. [ 5 12 15 16 ] Trained personnel may be a challenge in some developing countries, a reason for continued persistence with open surgical drainage. Accuracy of radiological diagnosis is also a problem in our environment.…”

Minimally invasive surgical treatment of multiple liver abscesses

“…По мнению ряда авторов, множественные крупные билобарные абсцес сы печени с внутриполостными секвестрами являются показанием для открытых, в том числе ре зекционных, хирургических вмешательств [5][6][7]. С другой стороны, в последние годы увели чилось количество публикаций, свидетельствующих о преимуществах минимально-инвазивных чрескожных пункционно-дренирующих методик под ультразвуковым наведением [5,8].…”