Surgical management of pyogenic liver abscess

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dc.contributor.authorOnder, A.
dc.contributor.authorKapan, M.
dc.contributor.authorBoyuk, A.
dc.contributor.authorGumus, M.
dc.contributor.authorTekbas, G.
dc.contributor.authorGirgin, S.
dc.contributor.authorTacyildiz, I. H.
dc.date.accessioned2024-04-24T17:38:10Z
dc.date.available2024-04-24T17:38:10Z
dc.date.issued2011
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground and Aim: Although Pyogenic Liver Abscess (PLA) has lower mortality rate in recent years due to the broad spectrum antibiotic usage, developed imaging techniques and improved intensive care services, it is still a potentially fatal disease. The objective of this study is to examine the treatment methods and our case load with the current literature. Materials and Methods: Of 55 patients with PLA, between January 2000 and December 2009, records of 28 who received surgical drainage treatment have retrospectively been analysed. Results: Nineteen (67.9%) of the patients were male, while 9 (32.1%) were female. Average age was 41.07 (15-76). Seven (25%) had associated disease. The most common symptoms were fever and abdominal pain. Twenty three (82.1%) patients had single and 5 (17.9%) had multiple cavitary lesion. Nineteen (67.9%) patients had abscess on the right and 7 (25%) had on the left one, while 2 (7.1%) had on both lobes. All were treated surgically, because of 11 (39.3%) inappropriate localization for percutaneous treatment, 6 (21.5%) insufficient percutaneous drainage, 6 (21.5%) intraabdominal free rupture and 5 (17.7%) multiple cavitary lesion. We observed 5 pulmonary complications, 5 wound infections and 2 perihepatic collections. The average hospital stay was 11.2 days. We observed only two deaths (7.1%). Conclusions: Surgical treatment is the sole option for the patients with PLA who; (a) can't be treated by percutaneous drainage or had an unsuccessful one, (b) have multiple abscess cavity, (c) are thought to have perforated abscess, (d) have additional abdominal pathology requiring laparatomy.en_US
dc.identifier.endpage1186en_US
dc.identifier.issn1128-3602
dc.identifier.issue10en_US
dc.identifier.pmid22165680
dc.identifier.scopus2-s2.0-82455167075
dc.identifier.scopusqualityQ2
dc.identifier.startpage1182en_US
dc.identifier.urihttps://hdl.handle.net/11468/21353
dc.identifier.volume15en_US
dc.identifier.wosWOS:000296917400011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLiveren_US
dc.subjectPyogenic Abscessen_US
dc.subjectSurgeryen_US
dc.titleSurgical management of pyogenic liver abscessen_US
dc.titleSurgical management of pyogenic liver abscess
dc.typeArticleen_US

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