Study of laparoscopic drainage of liver abscess

Abstract

Background: Open surgical drainage was the initial treatment method for liver abscess until 1980s when image guided percutaneous aspiration in combination with antibiotic therapy became the standard of care, although open surgical drainage of liver abscess becomes necessary in some cases. Laparoscopic drainage can be considered as an alternative to surgical drainage as it reduces the morbidity and mortality and improves recovery when other treatment modalities fail. The current study is undertaken to assess the efficacy in short & long-term considering the complications, morbidity & mortality. Methods: In this study, we will describe the procedure and clinical outcome of laparoscopy guided drainage of liver abscess. Results: 38 cases with liver abscess were treated by laparoscopic drainage. Mean age in the study was 42 years. Mean operating time was 88 minutes. Laparoscopic drainage was uneventful in majority (78.94%). Conversion to open surgery was noted in 6 patients. No postoperative mortality was noted. Conclusions: Laparoscopic drainage of large liver abscess is a safe treatment option. Rapid drainage & early recovery are the well-known advantages, although some limitations will require conversion for safety of the patient.