Abstract No. 574 Understanding the liver abscess microbiome: outcomes of percutaneous liver parenchymal abscess drainage with microbiologic correlation

AbstractLiver abscess requiring drainage is conventionally managed by interventional radiology-guided percutaneous drainage (PCD). Radiologically inaccessible abscesses are managed with laparoscopic or open surgery, which carries high rates of morbidity and mortality.EUS-guided transluminal liver abscess drainage is minimally invasive and can be an alternative approach for caudate lobe, segment 4, and left lateral segment abscesses. We report on three consecutive patients with radiologically inaccessible left lobe liver abscess involving the caudate lobe, segment 4, and lateral segment in whom EUS-guided transluminal drainage using a modified technique was successful.

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Laparoscopic Liver Abscess Drainage

A Color Atlas of Minimal Access Surgery in Children ◽

10.5005/jp/books/10004_20 ◽

2005 ◽

pp. 132-132

Author(s):

Sanjay Oak ◽

Prakash Agarwal ◽

Sandesh Parelkar

Keyword(s):

Liver Abscess ◽

Abscess Drainage

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Endoscopic transpapillary abscess drainage for a patient with giant pyogenic liver abscess

Digestive Endoscopy ◽

10.1111/j.1443-1661.2004.00304.x ◽

2004 ◽

Vol 16 (1) ◽

pp. 71-73 ◽

Cited By ~ 1

Author(s):

Hiroyuki Hayashi ◽

Osamu Hosokawa ◽

Kenji Dohden ◽

Masakazu Hattori

Keyword(s):

Liver Abscess ◽

Pyogenic Liver Abscess ◽

Abscess Drainage

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Clinical Outcome of Endoscopic Ultrasound-Guided Liver Abscess Drainage Using Self-Expandable Covered Metallic Stent (with Video)

Digestive Diseases and Sciences ◽

10.1007/s10620-015-3841-3 ◽

2015 ◽

Vol 61 (1) ◽

pp. 303-308 ◽

Cited By ~ 14

Author(s):

Takeshi Ogura ◽

Daisuke Masuda ◽

Onda Saori ◽

Takagi Wataru ◽

Tatsushi Sano ◽

...

Keyword(s):

Clinical Outcome ◽

Liver Abscess ◽

Endoscopic Ultrasound ◽

Metallic Stent ◽

Ultrasound Guided ◽

Abscess Drainage ◽

Covered Metallic Stent

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Upper Gastrointestinal Bleed Following Percutaneous Liver Abscess Drainage

Journal of Clinical and Experimental Hepatology ◽

10.1016/j.jceh.2015.06.009 ◽

2015 ◽

Vol 5 (4) ◽

pp. 349-351 ◽

Cited By ~ 2

Author(s):

Hemanta K. Nayak ◽

Vivek A. Saraswat ◽

Samir Mohindra ◽

Raghunandan Prasad ◽

Arun Karyampudi

Keyword(s):

Liver Abscess ◽

Abscess Drainage ◽

Gastrointestinal Bleed ◽

Upper Gastrointestinal Bleed ◽

Upper Gastrointestinal

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ENDOSCOPIC ULTRASONOGRAPHY-GUIDED DRAINAGE FOR TUBERCULOUS LIVER ABSCESS DRAINAGE

Digestive Endoscopy ◽

10.1111/j.1443-1661.2011.01115.x ◽

2011 ◽

Vol 23 ◽

pp. 158-161 ◽

Cited By ~ 15

Author(s):

TAKAO ITOI ◽

TIING LEONG ANG ◽

STEFAN SEEWALD ◽

SHUJIRO TSUJI ◽

TOSHIO KURIHARA ◽

...

Keyword(s):

Liver Abscess ◽

Endoscopic Ultrasonography ◽

Abscess Drainage

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Laparoscopic management of liver abscess: a viable alternative in USG guided percutaneous drainage failure cases

International Surgery Journal ◽

10.18203/2349-2902.isj20210376 ◽

2021 ◽

Vol 8 (2) ◽

pp. 637

Author(s):

Nikhil Tak ◽

Rajendra Bagree ◽

Gaurav Jalendra ◽

Hetish M. Reddy

Keyword(s):

Liver Abscess ◽

Percutaneous Drainage ◽

Viable Alternative ◽

Abscess Cavity ◽

Treatment Modalities ◽

Percutaneous Aspiration ◽

Abscess Drainage ◽

Average Hospital ◽

Liver Abscesses ◽

Laparoscopic Drainage

Background: Liver abscesses are conventionally treated by ultrasonography (USG) guided percutaneous aspiration or drainage under antibiotic cover. We performed laparoscopic liver abscess drainage successfully in patients where medical management and percutaneous drainage had proven inadequate.Methods: Cases were received either from outpatient department (OPD) or were transferred from medical wards. Patients were first treated conservatively and percutaneous aspiration was attempted. Patients not responding to these treatment modalities were considered for diagnostic laparoscopy with drainage of abscess cavity and placement of 28 Fr drain under vision.Results: 20 patients with large liver abscess were treated successfully by laparoscopic drainage. Mean age in the study was 47 years (range 19-70 years) and average hospital stay was 5 days (range 4-12 days). Major postoperative morbidity or deaths were not registered. Patients with ruptured liver abscess, deep seated abscess cavity and medically unfit patients were excluded from the study.Conclusions: Laparoscopic drainage of liver abscesses, in combination with systemic antibiotics is a safe and viable alternative in all patients who require surgical drainage. It helps in the early return of gastrointestinal function and resumption of normal activities also potentially achieving better abscess drainage.

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