Role of Surgery in Liver Abscess
DOI:
https://doi.org/10.70749/ijbr.v2i02.282Keywords:
Liver Abscesses, Surgery, Surgical Drainage, Liver ResectionAbstract
Background: Liver abscesses are localized pus collections in the liver, often resulting from various infections. They pose significant clinical challenges, with the potential for severe complications and adverse outcomes. Objective: This study aims to evaluate the role of surgical interventions in the management of liver abscesses, specifically within the patient population of Bolan Medical Complex, Quetta. It seeks to analyze surgical outcomes, complications, and patient recovery in comparison to other treatment modalities. Methods: A qualitative approach was employed, involving semi-structured interviews with 100 patients who underwent surgical procedures for liver abscesses at Bolan Medical Complex. The data were analyzed to identify patterns related to surgical efficacy and patient experiences. Results: The findings indicate that open drainage remains the most performed procedure, with a high success rate of 80% in achieving favorable outcomes. Complications occurred in 15% of cases, and the average length of hospital stay varied, with half of the patients being discharged within 1-3 days post-surgery. Conclusion: Surgical intervention plays a critical role in the management of liver abscesses, particularly in cases resistant to medical treatment. The study highlights the importance of careful patient selection and the benefits of surgical procedures in improving patient outcomes and quality of life
Downloads
References
Priyadarshi, R. N., Kumar, R., & Anand, U. (2022). Amebic liver abscess: Clinico-radiological findings and interventional management. World Journal of Radiology, 14(8), 272–285. https://doi.org/10.4329/wjr.v14.i8.272
Grassel, M., Yim, D., Shriver, J., & Redlin, T. (2022). Increased Incidence of Pyogenic Liver Abscess in a Midwest System With Emphasis on Rural Impact. Cureus. https://doi.org/10.7759/cureus.21477
Kumar, R., Patel, R., Priyadarshi, R. N., Narayan, R., Maji, T., Anand, U., & Soni, J. R. (2024). Amebic liver abscess: An update. World Journal of Hepatology, 16(3), 316–330. https://doi.org/10.4254/wjh.v16.i3.316
Singh, A., Banerjee, T., Khan, U., & Shukla, S. K. (2021). Epidemiology of clinically relevant Entamoeba spp. (E. histolytica/dispar/moshkovskii/bangladeshi): A cross sectional study from North India. PLOS Neglected Tropical Diseases, 15(9), e0009762. https://doi.org/10.1371/journal.pntd.0009762
KAPLAN, G., GREGSON, D., & LAUPLAND, K. (2004). Population-based study of the epidemiology of and the risk factors for pyogenic liver abscess. Clinical Gastroenterology and Hepatology, 2(11), 1032–1038. https://doi.org/10.1016/s1542-3565(04)00459-8
Lorente, S., Hautefeuille, M., & Sanchez-Cedillo, A. (2020). The liver, a functionalized vascular structure. Scientific Reports, 10(1). https://doi.org/10.1038/s41598-020-73208-8
Chatterjee, M., Islam, N., Rasel, M. H., Faruque, F., Ashraf, M. A., Saha, D., & Haque, M. A. (2024). Bacteriological Etiology of Empyema Thoracis Patients Admitted in A Tertiary Care Hospital. Bangladesh Journal of Medicine, 35(3), 187–194. https://doi.org/10.3329/bjm.v53i3.73297
Kurland, J. E., & Brann, O. S. (2004). Pyogenic and amebic liver abscesses. Current Gastroenterology Reports, 6(4), 273–279. https://doi.org/10.1007/s11894-004-0078-2
Kumanan, T., Sujanitha, V., & Sreeharan, N. (2020). Amoebic liver abscess: a neglected tropical disease. The Lancet Infectious Diseases, 20(2), 160–162. https://doi.org/10.1016/s1473-3099(19)30696-6
Ndong, A., Tendeng, J., Ndoye, N., Diao, M., Dieye, A., Diallo, A., Mansouri, M., Dia, D., Nibogora, J., Fall, F., Sagna, S., Konta, B., Kane, K., Dieng, M., Diedhiou, M., Manyacka, P., & Konaté, I. (2020). Predictive risk factors for liver abscess rupture: A prospective study of 138 cases. Archives of Clinical Gastroenterology, 6(1), 001–005. https://doi.org/10.17352/2455-2283.000067
Trillos-Almanza, M. C., & Restrepo Gutierrez, J. C. (2020). How to manage: liver abscess. Frontline Gastroenterology, 12(3), 225–231. https://doi.org/10.1136/flgastro-2019-101240
Cai, Y.-L., Xiong, X.-Z., Lu, J., Cheng, Y., Yang, C., Lin, Y.-X., Zhang, J., & Cheng, N.-S. (2015). Percutaneous needle aspiration versus catheter drainage in the management of liver abscess: a systematic review and meta-analysis. HPB, 17(3), 195–201. https://doi.org/10.1111/hpb.12332
Bhatia, M., & Ali, M. (2017). Ruptured liver abscess: Analysis of 50 cases. Medical Journal of Dr. D.Y. Patil University, 10(6), 532. https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_96_17
Priyadarshi, R. N., Prakash, V., Anand, U., Kumar, P., Jha, A. K., & Kumar, R. (2019). Ultrasound-guided percutaneous catheter drainage of various types of ruptured amebic liver abscess: a report of 117 cases from a highly endemic zone of India. Abdominal Radiology (New York), 44(3), 877–885. https://doi.org/10.1007/s00261-018-1810-y
Haque, R., Kabir, M., Noor, Z., Rahman, S. M. M., Mondal, D., Alam, F., Rahman, I., Al Mahmood, A., Ahmed, N., & Petri, W. A. (2010). Diagnosis of Amebic Liver Abscess and Amebic Colitis by Detection of Entamoeba histolytica DNA in Blood, Urine, and Saliva by a Real-Time PCR Assay. Journal of Clinical Microbiology, 48(8), 2798–2801. https://doi.org/10.1128/jcm.00152-10
Noordin, R., Yunus, M. H., Saidin, S., Mohamed, Z., Corripio, I. F., Rubio, J. M., Golkar, M., Hisam, S., Lee, R., & Mahmud, R. (2020). Multi-Laboratory Evaluation of a Lateral Flow Rapid Test for Detection of Amebic Liver Abscess. American Journal of Tropical Medicine and Hygiene, 103(6), 2233–2238. https://doi.org/10.4269/ajtmh.20-0348
Korymasov, E. A., Krichmar, A. M., & Mazen, D. R. (2013). Efficiency of minimally invasive puncture-drainage interventions in the treatment of pancreatic necrosis. Kazan Medical Journal , 94 (1), 1-6.
Meyers, W. C., & Kim, R. D. (2001). Pyogenic and amebic liver abscess. Sabiston Textbook of Surgery, 16, 1043-1055.
Cohen, J. L. (1989). Liver abscess: the need for complete gastrointestinal evaluation. Archives of Surgery, 124(5), 561. https://doi.org/10.1001/archsurg.1989.01410050051009
Zorn, S., Molnár, V., Bíró, F., & Beregi, A. (2000). Ultrasonographic deteCTION of abdominal abScess in two guinea pigs. Acta Veterinaria Hungarica, 48(3), 271–276. https://doi.org/10.1556/avet.48.2000.3.3
Kumar, P., Choubey, K. K., Tiwary, S. K., & Verma, A. (2021). Liver Abscesses in Tropics. Indian Journal of Surgery. https://doi.org/10.1007/s12262-021-02752-y
Cao, Y., Zhao, W., Liu, X., & Wang, Y. (2019). Imaging Diagnosis of Liver Abscess: A Review. World Journal of Gastroenterology, 25(35), 5530-5541.
Britton, E., & Hong-Dong, J. (2024). Biliary Malignancies. In Bailey & Love's Essential Operations in Hepatobiliary and Pancreatic Surgery (pp. 482-492). CRC Press.
Bittaye, S. O., Tamba, S., Jaw, M., Joof, S., Pelletier, I., & Pelletier, J. (2024). The Use of Point-of-Care Ultrasound in the Diagnosis and Percutaneous Aspiration of Liver Abscess in a Resource-Limited Country: A Case Report. Cureus, 16(7). https://doi.org/10.7759/cureus.63905
Zhou, J., Sun, H., Wang, Z., Cong, W., Zeng, M., Zhou, W., Bie, P., Liu, L., Wen, T., Kuang, M., Han, G., Yan, Z., Wang, M., Liu, R., Lu, L., Ren, Z., Zeng, Z., Liang, P., Liang, C., & Chen, M. (2023). Guidelines for the Diagnosis and Treatment of Primary Liver Cancer (2022 Edition). Liver Cancer, 12(5), 405–444. https://doi.org/10.1159/000530495
Sözen, S. (Ed.). (2024). Abscess-Types, Causes and Treatment: Types, Causes and Treatment.
Mahmoud, A., Abuelazm, M., Ahmed, A. A. S., Elshinawy, M., Abdelwahab, O. A., Abdalshafy, H., & Abdelazeem, B. (2023). Percutaneous catheter drainage versus needle aspiration for liver abscess management: an updated systematic review, meta-analysis, and meta-regression of randomized controlled trials. Annals of Translational Medicine, 11(5), 190. https://doi.org/10.21037/atm-22-4663
Belet, U., Capar, A. E., & Sarioglu, O. (2020). Interventional Radiology in General Practice of Colorectal Cancer. Colon Polyps and Colorectal Cancer, 595–627. https://doi.org/10.1007/978-3-030-57273-0_30
Pillay, K., Khan, Z. A., Nweke, E. E., & Omoshoro-Jones, J. (2024). Clinicopathological presentation of liver abscesses and hydatid liver disease from two South African tertiary hospitals. World Journal of Hepatology, 16(12), 1417–1428. https://doi.org/10.4254/wjh.v16.i12.1417
Nadar, P. A., & Lanjewar, S. M. (2023). Study of laparoscopic drainage of liver abscess. International Surgery Journal, 11(1), 88–93. https://doi.org/10.18203/2349-2902.isj20233927
Mauro, A., Lusetti, F., Scalvini, D., Bardone, M., De Grazia, F., Mazza, S., Pozzi, L., Ravetta, V., Rovedatti, L., Sgarlata, C., Strada, E., Torello Viera, F., Veronese, L., Enrique, D., & Anderloni, A. (2023). A Comprehensive Review on Bariatric Endoscopy: Where We Are Now and Where We Are Going. Medicina-Lithuania, 59(3), 636–636. https://doi.org/10.3390/medicina59030636
Velasco, J. V. R., Crespo, J., Montaño-Loza, A., Aldana-Ledesma, J. M., Cano-Contreras, A. D., Cerda-Reyes, E., ... & Higuera-de-la-Tijera, F. (2024). Position paper on perioperative management and surgical risk in the patient with cirrhosis. Revista de Gastroenterología de México (English Edition), 89(3), 418–441. https://doi.org/10.1016/j.rgmxen.2024.05.001
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Indus Journal of Bioscience Research

This work is licensed under a Creative Commons Attribution 4.0 International License.