LIVER ABSCESSES: A 10-YEAR VINNYTSYA UNIVERSITY STUDY
| Autor: | Stepan S. Skalskyi, Yevhen V Shaprynskyi, Volodymyr O. Shaprynskyi, Viktor M. Makarov, Vasylysa Suleimanova |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry medicine.medical_treatment lcsh:R laparoscopic liver surgery lcsh:Medicine Treatment results medicine.disease puncture of liver abscess liver abscess Surgery 03 medical and health sciences Mini invasive surgery 0302 clinical medicine 030220 oncology & carcinogenesis Laparotomy medicine mini-invasive surgery 030211 gastroenterology & hepatology Abscess Medline database business drainage of liver abscess Liver abscess |
| Zdroj: | EUREKA: Health Sciences, Vol 0, Iss 1, Pp 10-14 (2020) |
| ISSN: | 2504-5679 2504-5660 |
| Popis: | According to MEDLINE database there were about 1278 papers on liver abscess published in a period from 2001 to 2015. The aim of the study isto improve liver abscess treatment results comparing minimally invasive and traditional operative techniques. Materials and methods.137 patients were included in the study and divided on two comparison groups. Traditional methods were used for the treatment of 66 participants of the control group (48.2 %). For 71 patients (51.8 %) of the general group the mini-invasive drainages were predominating. Results.Cholangiogenic causes of liver abscesses were found in 41 patients (29.93±3.91 %), cryptogenic ones – in 37 (27.01±3.79 %), haematogenous causes – in 29 (21.17±3.49 %), contact ones – in 16 (11.68±2.75 %), posttraumatic ones – in 11 (8.03±2.32 %) and purulent distraction of metastases – in 3 (2.19±1.25 %). Single abscesses occurred more often – in 117 (85.40±3.02 %), multiple once – in 20 (14.60±3.02 %). Mostly 3, 6 and 7 liver segments were damaged – 19 (13.88±2.95 %), 35 (25.55±3.73 %), 44 (32.12±3.99 %). In control group, the abscess drainage via laparotomy was performed on 58 patients (87.88±4.02 % of 66 ones) versus 21 (29.58±5.42 % of 71 ones) in general group. Percutaneous drainage was used in 8 (12.12±4.02 %) and in 44 (61.97±5.76 %) cases respectively. 6 or 8.45±3.30 % laparoscopic interventions were used only in the general group. Finally, mini-invasive drainages were applied in the greater part of general group - 50 (70.42±5.42 %) versus 8 ones (12.12±4.02 %) in control group. Conclusions.Minimally invasive liver abscess drainages showed a significant reduction of postoperative complications from 24.24±5.27 % in the control group to 12.66±3.95 % in the general group, shortening of hospital terms from 14.6±1 in control to 5.2±0.8 days and decreasing of mortality from 7.58±3.26 % to 2.82±1.96 %. |
| Databáze: | OpenAIRE |
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