Minimally invasive technologies in the surgical treatment of liver abscesses

Authors

  • V. O. Shaprinskyi National Pirogov Memorial Medical University, Vinnytsya
  • A. M. Formanchuk National Pirogov Memorial Medical University, Vinnytsya
  • Y. V. Shaprinskyi National Pirogov Memorial Medical University, Vinnytsya
  • V. M. Makarov National Pirogov Memorial Medical University, Vinnytsya
  • O. A. Kaminskiy National Pirogov Memorial Medical University, Vinnytsya
  • T. V. Formanchuk National Pirogov Memorial Medical University, Vinnytsya
  • O. I. Chernichenko National Pirogov Memorial Medical University, Vinnytsya

DOI:

https://doi.org/10.11603/2414-4533.2021.3.12534

Keywords:

liver abscess (LA), percutaneous echo-controlled minimally invasive interventions, open surgery

Abstract

The aim of the work: to analyze the effectiveness of traditional and minimally invasive methods of surgical treatment of liver abscesses (LA), which will improve the approaches to each of the known methods of treatment with the development of an algorithm for the surgeon in different clinical cases.

Materials and Methods. The article presents the experience of treatment of 142 patients with liver abscesses. 89 surgeries were performed by laparotomy access, 36 percutaneous drainage by ultrasound navigation, 17 surgical interventions by minimally invasive laparoscopic drainage. The age of patients varied from 26 to 84 years. LAs were 1.41 times more common in women than in men. The duration from the initial manifestation to hospitalization ranged from 4 days to 1 month. Concomitant pathology was in 121 patients (85.2%).

Results and Discussion. LA were most often located in the following segments of the liver: 3rd segment – (14.54±2.85) %, 6th segment – (24.43±3.85) %, 7th segment – (34.26± 3.77) %, in (26.77±3.34) % of cases several segments of the liver were affected. Complications were represented by suppuration of the postoperative wound – 6 (6.37±3.25) %, exudative pleuritis on the right 7 (5.16±2.85) % bile leakage – 4 (3.01±2.58) %, pneumonia – 6 (6.04±2.63) %, early adhesive intestinal obstruction – 3 (3.03±2.14) %. The length of hospital stay of patients with minimally invasive treatments for LA was shorter (5.7±0.4) days comparing with open surgery (14.7±1) (p <0.05). Preference should be given to minimally invasive treatments that are highly effective, safe, reduce the length of hospital stay and reduce mortality up to 7.04 %. If the chosen method is ineffective, surgical tactics should be based on the escalation principle, which is a timely transition to a more effective and invasive method.

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Published

2021-12-03

How to Cite

Shaprinskyi, V. O., Formanchuk, A. M., Shaprinskyi, Y. V., Makarov, V. M., Kaminskiy, O. A., Formanchuk, T. V., & Chernichenko, O. I. (2021). Minimally invasive technologies in the surgical treatment of liver abscesses. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 12–16. https://doi.org/10.11603/2414-4533.2021.3.12534

Issue

No. 3 (2021)

Section

ORIGINAL INVESTIGATIONS

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