Minimally Invasive Surgical Management as Effective First-Line Treatment of Large Pyogenic Hepatic Abscesses.
Publication/Presentation Date
8-1-2019
Abstract
Management of pyogenic hepatic abscesses (PHA) varies among surgeons and institutions. Recent studies have advocated for first-line percutaneous drainage (PD) of all accessible hepatic abscesses, with surgery reserved as rescue only. Our study aimed to internally validate an established multimodal algorithm for PHA at a high-volume hepatopancreatobiliary center. Patients treated by the hepatopancreatobiliary service for PHA were retrospectively reviewed from 2008 through 2018. The algorithm defined intended first-line treatment as antibiotics for type I abscesses (<3 >cm), PD for type II (≥3, unilocular), and surgical intervention (minimally invasive drainage or resection, when possible) for type III (≥3 cm, multilocular). Outcomes were compared between patients who received first-line treatment following the algorithm
Volume
85
Issue
8
First Page
813
Last Page
820
ISSN
1555-9823
Published In/Presented At
Pickens, R. C., Jensen, S., Sulzer, J. K., Baimas-George, M., Baker, E. H., Vrochides, D., Martinie, J. B., Ocuin, L. M., & Iannitti, D. A. (2019). Minimally Invasive Surgical Management as Effective First-Line Treatment of Large Pyogenic Hepatic Abscesses. The American surgeon, 85(8), 813–820.
Disciplines
Medicine and Health Sciences
PubMedID
31560300
Department(s)
Department of Surgery, Lehigh Valley Topper Cancer Institute
Document Type
Article