Tu JF, Huang XF, Hu RY, You HY, Zheng XF, Jiang FZ. Comparison of laparoscopic and open surgery for pyogenic liver abscess with biliary pathology. World J Gastroenterol 2011; 17(38): 4339-4343 [PMID: 22090791 DOI: 10.3748/wjg.v17.i38.4339]
Corresponding Author of This Article
Dr. Jin-Fu Tu, Department of Laparoscopic Surgery, the First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, Zhejiang Province, China. tujinfu@sina.com
Article-Type of This Article
Brief Article
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World J Gastroenterol. Oct 14, 2011; 17(38): 4339-4343 Published online Oct 14, 2011. doi: 10.3748/wjg.v17.i38.4339
Table 1 Clinical manifestation of patients with pyogenic liver abscesses
Variables
LS group (n = 13)
OS group (n = 18)
Fever/chills
11
17
Abdominal pain
10
14
Vomiting
8
10
Jaundice
5
8
Septic shock
1
1
RUQ tenderness
10
15
Murphy’s sign
6
7
Hepatomegally
4
6
Table 2 Initial laboratory values for pyogenic liver abscesses
Parameter
LS group (n = 13)
OS group (n = 18)
WBC count (> 10 000/mL)
12
18
Serum albumin (< 35 g/L)
8
11
Total bilirubin (> 20 μmol/L)
7
10
AST (> 60 U/L)
6
9
Serum creatinine (> 80 μmol/L)
2
3
PT (> 14.8 s)
2
2
Table 3 Origin of pyogenic liver abscesses
Variables
LS group (n = 13)
OS group (n = 18)
Cholelithiasis
6
7
Choledocholithiasis
3
5
Hepatolithiasis
3
4
Intrahepatic biliary stricture
1
1
Biliary cystadenoma
0
1
Table 4 Operative procedures performed on the patients
Operative procedures
LS group (n = 13)
OS group (n = 18)
Drainage of abscess with cholecystectomy
6
7
Drainage of abscess with CBD exploration/and cholecystectomy
3
5
Left lateral segmentectomy
2
4
Left hemihepatectomy
2
2
Table 5 Comparison of results in laparoscopic surgery group and open surgery group
Variables
LS group (n=13)
OS group (n = 18)
Operating time (min)
117 ± 27
112 ± 31
Intraoperative blood loss (mL)
139 ± 51
146 ± 47
Intraoperative blood transfusion (%)
1 (7.7)
1 (5.6)
Commencement of oral intake (d)
1.9 ± 0.4
3.1 ± 0.7
Postoperative complications (%)
2 (15.4)
3 (16.7)
Postoperative hospital stay (d)
11.3 ± 2.9
14.5 ± 3.7
Intermediate residual stone (%)
0 (0)
1 (5.6)
Abscess recurrence (%)
0 (0)
1 (5.6)
Perioperative mortality (%)
0 (0)
0 (0)
Citation: Tu JF, Huang XF, Hu RY, You HY, Zheng XF, Jiang FZ. Comparison of laparoscopic and open surgery for pyogenic liver abscess with biliary pathology. World J Gastroenterol 2011; 17(38): 4339-4343