Laparoscopic Surgery for Intra-Abdominal Ruptured Liver Abscess: A Study of 32 Cases

Le Quang Minh, Le Cong Tri, Vu Thi Minh Thuc, Huynh Quang Huy, Ho Hoang Phuong and Nguyen Quoc Vinh

Department of Health, Ministry of Public Security, Vietnam Department of Surgery, Cho Ray Hospital, Vietnam National Otorhinolaryngology Hospital of Vietnam, Vietnam Department of Radiology, Pham Ngoc Thach University of Medicine and HCMC Oncology Hospital, Vietnam Department of Radiology, HCMC Medicine and Pharmacy University, Vietnam Department of General Surgery, HCMC Medicine and Pharmacy University, Vietnam

^*Correspondance to: Huynh Quang Huy 

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Abstract:

Objectives: The purpose of this study is to see the efficacy of laparoscopic treatment in the management of intra-abdominal ruptured liver abscess. Patients and Methods: From 2014 to 2018, 32 patients with intra-abdominal ruptured liver abscess meeting entry criteria received laparoscopic surgical management in our hospital. Clinical data including operation time, postoperative complication rate and length of postoperative hospital stay were retrospectively analyzed. Results: 32 patients with a median age of 53.3 ± 15.3 years (range, 24 to 85 years). The mean of operating time was 105 ± 28 min (median 100 min, range: 60 min to 185 min). Time to pass gas after surgery was 2.8 ± 1.6 days in average (range: 1 to 6 days). The mean of time to remove drains was 10 ± 5 days (range: 3 to 27 days). The mean time of post-operative stay was 12.5 ± 6.9 days (range: 3 to 30 days). Postoperative complications occurred in 8 patients (25.0%) (3 cases of local ascite, 2 cases of pneumoniae, 1 case wound bleeding, 1 bile duct leak, 1 wound infection), and all complications were successfully managed. Conclusion: Laparoscopic drainage is highly effective in management of large and freely ruptured abscess with decreased mortality, postoperative recovery and complications.

Keywords:

Liver abscess; Ruptured; Laparoscopic

Cite the Article:

Minh LQ, Tri LC, Minh Thuc VT, Huy HQ, Phuong HH, Vinh NQ. Laparoscopic Surgery for IntraAbdominal Ruptured Liver Abscess: A Study of 32 Cases. World J Surg Surgical Res. 2019; 2: 1144..