Laparoscopic drainage of pyogenic liver abscesses.
OBJECTIVE
To report our experience of performing laparoscopic drainage of liver abscesses in patients who failed to respond to conservative treatment.


METHODS
We retrospectively compared the results and complications of 18 patients who underwent laparoscopic liver abscess drainage with those of 5 patients who underwent open drainage between June 1999 and October 2002.


RESULTS
The operation times were shorter and oral intake was recommenced earlier in the laparoscopic group, which also tended to have less blood loss and shorter hospitalization. One case of recurrence, which developed 1 month postoperatively, was successfully treated with percutaneous drainage. There was no mortality in either group.


CONCLUSIONS
Laparoscopic drainage of liver abscesses, combined with intravenous antibiotics, is a safe alternative for patients requiring surgical drainage when medical treatment has failed.
Wang
Weu
W
Department of General Surgery, En-Chu-Kong Hospital, Taipei, Taiwan.
Lee
Wei-Jei
WJ
Wei
Po-Li
PL
Chen
Tai-Chi
TC
Huang
Ming-Te
MT
D000368:Aged; D016063:Blood Loss, Surgical; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008100:Liver Abscess / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome