Effect analysis of percutaneous catheter drainage and laparoscopic incision and drainage in the treatment of bacterial liver abscess

Abstract

Objective To investigate the therapeutic effect of percutaneous catheter drainage and laparoscopic incision and drainage on bacterial liver abscess. Methods Sixty cases of solitary bacterial liver abscess were selected, using the method of random number table, the patients were divided into the puncture group (treated by percutaneous puncture catheter drainage) and the incision group(treated by laparoscopic incision and drainage). The therapeutic effects, liver function before and after treatment and hospital related indicators were of the two groups compared. Results The effective rate of the puncture group was 90.0%, the difference was not significant (P>0.05)compared with the incision group(83.3%), but the puncture group was slightly higher than that of the incision group. The levels of AST, ALT, ALP and CHE were significantly higher in the two groups after 1 week than before operation, the ALT, ALP and CHE levels in the puncture group were significantly higher than those in the incision group (P<0.05) after 1 week. Time, hospitalization expenses, extubation time, cooling time and operation time of the puncture group were significantly lower than those of the incision group (P<0.05). Conclusions Percutaneous catheter drainage in treatment of bacterial hepatic abscess can accelerate the recovery of the disease, with less trauma, simple and quick, but it can only be applied to a single liver abscess and larger, so the choice of operation should be carefully considered. Key words: Percutaneous puncture catheter drainage; Laparoscopic incision and drainage; Bacterial liver abscess