Laparoscopic drainage of liver abscess: case report and literature review.
G Chir
; 34(5-6): 180-2, 2013.
Article
em En
| MEDLINE
| ID: mdl-23837960
ABSTRACT
AIM:
To evaluate the safety and efficacy of the minimally invasive surgical approach (laparoscopic drainage) of liver abscesses in selected cases. CASE REPORT Male, 58 years old, from a rural area, presented with epigastric abdominal pain, fever, weight loss, loss of appetite, a palpable mass in the epigastrium and neutrophilic leukocytosis. CT revealed a complex multiloculated liver abscess in segments 2-3. Systemic antibiotic therapy alone was ineffective; percutaneous drainage was excluded due to the characteristics of the lesion.RESULT:
Given the complexity of the lesion, a laparoscopic approach was chosen involving complete drainage of the abscess, debridement and irrigation; the cavity was unroofed using electrocautery and samples were obtained for bacterial culture and drug testing. Two drains were left in the cavity for seven days. No complications were observed.DISCUSSION:
In accordance with the scientific literature, after thorough imaging we performed laparoscopic drainage of a large, complex liver abscess as a safe, effective alternative to open surgery when antibiotic therapy alone failed and percutaneous drainage was uncertain.CONCLUSION:
Not all liver abscesses can be treated with antibiotic therapy or percutaneous drainage. Laparoscopic drainage in association with systemic antibiotic therapy is a safe and effective minimally invasive approach that should be considered in selected patients.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Drenagem
/
Laparoscopia
/
Abscesso Hepático
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article