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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2013

01-09-2013

Laparoscopic drainage of cryptogenic liver abscess

Authors: Liza Tan, Hui Jun Zhou, Mikael Hartman, Iyer Shridhar Ganpathi, Krishnakumar Madhavan, Stephen Chang

Published in: Surgical Endoscopy | Issue 9/2013

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Abstract

Background

To retrospectively compare the outcomes of percutaneously drained and laparoscopically drained liver abscesses.

Methods

Eight-five consecutive patients with radiological evidence of liver abscess were treated at National University Hospital of Singapore from 2005 to 2011. Multivariable logistic regression was used to identify failures of intervention. This was defined as persistent objective signs of sepsis. Complications, length of antibiotic therapy, and hospital stay were recorded but not used as indicators for failure of intervention. A propensity score analysis was used to adjust for possible confounders.

Results

Twenty-seven (40.3 %) patients in the percutaneous group did not respond to primary intervention compared to 2 patients (11.1 %) in the laparoscopic group (p = 0.020). Two patients within the percutaneous group died from progression of sepsis despite intervention. In the multivariate model with propensity score, laparoscopic drainage had a protective effect against failure compared to percutaneous drainage of liver abscess (odds ratio [OR], 0.03; 95 % confidence interval [CI], [0–0.4]; p = 0.008). There were no differences in complications related to the intervention (p = 0.108). Mean duration of antibiotics (p = 0.437) and hospital stay (p = 0.175) between the groups was similar.

Conclusions

Laparoscopic drainage of cryptogenic liver abscesses should be considered as an option for drainage of liver abscess.
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Metadata
Title
Laparoscopic drainage of cryptogenic liver abscess
Authors
Liza Tan
Hui Jun Zhou
Mikael Hartman
Iyer Shridhar Ganpathi
Krishnakumar Madhavan
Stephen Chang
Publication date
01-09-2013
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 9/2013
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-013-2910-y

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