Related Experiment Video
Updated: Jan 5, 2026
Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
Published on: May 23, 2025
Percutaneous treatment of liver abscess - outcomes
11 Department of General and Vascular Surgery, Medical University of Warsaw, Warsaw, Poland.
Introduction:
Mixed bacterial flora are responsible for the development of numerous abscesses, particularly those that are a consequence of systemic infection (septicaemia) originating from pathologies within abdominal organs or biliary ducts. The number and volume of abscesses may vary, which influences the method of treatment.
Aim:
To assess the effectiveness of a minimally invasive percutaneous drainage of liver abscesses.
Material And Methods:
A total of 37 patients were treated for liver abscess in the years 2007-2016. The treatment involved sonographically guided percutaneous drainage of liver abscess.
Results:
A total of 35 patients with a solitary abscess were successfully cured with minimally invasive percutaneous drainage. Two patients with abscesses volume > 20 cm3 were treated surgically after ineffective percutaneous drainage.
Conclusions:
Percutaneous drainage is effective in the treatment of solitary liver abscesses volume < 5 cm3. Irregularly shaped abscesses are effectively drained with multisite drainage. Hybrid drainage (endoscopic and percutaneous) is a method of choice in the treatment of abscesses resulting from biliary duct obstruction. Statistical significance regarding inflammatory markers was found only for C-reactive protein (CRP), because it correlated with the effectiveness of drainage, i.e. the possibility of drainage effectiveness decreased with the increase in CRP values.
