Purpose of the study. The purpose of the study
is to improve the results of surgical treatment
of patients with purulent-septic lesion of the
liver substantiating the indication for resection
method use.
Material and methods. The work is based on a
comparative analysis of the results of examination
and treatment of 64 patients aged 10 to 81 years
old, with chronic liver abscesses in the department
of surgery and liver transplantation during the
1995–2016 periods.
According to the tasks of the study patients are
divided into two groups. In 30 (46,8%) patients
(the study group), various types of anatomical
resection of the liver with a purulent lesion
were performed without its dissection during
the operation; in 34 (53,2%) patients (group
of comparison) they performed the disclosure,
sanation, drainage of purulent cavity. The
majority of patients with chronic liver abscesses
treated the abscess with a puncture or drainage
method under the control of ultrasound in other
medical institutions of Ukraine.
Results. The results of diagnosis and
treatment of 64 patients for chronic liver
abscesses from 1995 to 2016 are analyzed. In the
study group, the patients performed anatomical
resection of the liver, in the comparison group –
standard surgical interventions – the disclosure
and drainage of the abscess of the liver. The duration
of antibiotic therapy after surgery in the comparison
group is significantly higher than in the study group,
respectively, 22 ± 3,4 and 5,75 ± 1,6 days; p < 0,001.
Second-line antibacterial drugs after draining
operations were used more often (p < 0,001) than
after resection interventions, respectively, in
94,1 and 6,6% of cases. The duration of treatment
of patients in the hospital after surgery in the
study group was less than in the comparison group,
according to 15,1 ± 0,7 and 27,3 ± 3,05 days; total 25,9 ± 1,4 and 45,7 ± 3,45 days (p < 0,001).
After drainage operations, drainages from the
abdominal cavity were removed later than after
resection interventions, respectively, 17,1 ± 2,8
and 6,35 ± 1,1 days (p < 0,001), through.
Conclusion. Resection for chronic purulentseptic
lesions of the liver is the priority methods of
surgical treatment. The analysis of the obtained
results allows us to conclude that resection
technologies contribute to the rapid normalization
of physical and social rehabilitation of patients
with septic liver damage.
Keywords: liver abscess, liver resection,
chronic, purulent-septic.
