Aggressive hepatic resection for patients with pyogenic liver abscess and APACHE II score ≥15

Huan-Fa Hsieh, Teng-Wei Chen, Chih-Yung Yu, Ning-Chi Wang, Heng-Cheng Chu, Ming-Liang Shih, Jyh-Cherng Yu, Chung-Bao Hsieh

研究成果: 雜誌貢獻文章

22 引文 斯高帕斯(Scopus)


Background: Most liver abscesses resolve after antimicrobial therapy or percutaneous tube drainage (PD). The aim of this study was to evaluate the results of hepatic resection (HR) for patients with pyogenic liver abscesses and an Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥15. Methods: We compared the clinical outcomes of 81 patients with APACHE II scores ≥15 undergoing PD and/or HR. Results: The failure rate (3 of 65) and double-treatment rate (32 of 65) in the PD group were significantly higher than in the HR group (3 of 35 vs 0 of 35; P = .0002). The mortality rate in the PD group was significantly higher than the other 2 groups (14 of 46 vs 2 of 19 and 1 of 16; P = .038). The length of hospital stay was significantly shorter and antibiotic use less in the HR group than in the PD group (P <.05). Conclusions: Aggressive HR for patients with liver abscesses and APACHE II scores ≥15 produced better clinical outcomes. © 2008 Elsevier Inc. All rights reserved.
頁(從 - 到)346-350
期刊American Journal of Surgery
出版狀態已發佈 - 2008