Abstract
Twenty-one patients with liver abscesses were treated by percutaneous drainage over a 2 1/2-year period. Percutaneous drainage was successful in 18 (85%) of 21 patients. Complications include 2 inadvertently dislodged catheters, 1 septicemia and 1 pleural effusion. There were 2 deaths. The low morbidity and high success rate in treating hepatic abscesses by percutaneous drainage suggest that this therapy should be tried before operative intervention is considered.
Résumé
Nous avons traité par drainage percutané 21 patients ayant un abcès du foie en deux ans et demi. Le drainage percutané était un succès chez 18 (85) des 21 patients. Les complications comprenaient 2 cathéters arrachés par mégarde, une septicémie et un épanchement pleural. Il y eu 2 décès. Le taux de morbidité peu élevé et le taux de réussite important dans le traitement des abcès du foie par drainage percutané incite à essayer cette thérapie avant d'envisager à une intervention chirurgicale.
Resumen
Veintiun pacientes con abscesos del hígado fueron tratados mediante drenaje percutáneo en un período de 2 1/2 años; el drenaje fue exitoso en 18 (85) de 21 pacientes. Las complicaciones incluyeron 2 catéteres desalojados en forma accidentai, 1 septicemia, 1 derrame pleural. Se presentaron 2 muertes. La baja morbilidad y la elevada tasa de éxito en el tratemiento de los abscesos hepáticos por drenaje percutáneo hace pensar que esta modalidad terapéutica debe ser ensayada antes de considerar intervención operatoria.
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Wong, K.P. Percutaneous drainage of pyogenic liver abscesses. World J. Surg. 14, 492–497 (1990). https://doi.org/10.1007/BF01658674
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DOI: https://doi.org/10.1007/BF01658674