Intrahepatic pyogenic abscesses: Treatment by percutaneous drainage

Pyogenic liver abscess: current status and predictive factors for recurrence and mortality of first episodes

“…PD have been shown to be as effective as open surgical therapy and has become the standard of care in patients with abscesses >3 cm [19][20][21] with case fatality rates of up 8%. 22,23 Still, there is a role for surgical drainage if PD fails, especially in cases with large multilocular abscesses.…”

Efficacy of Percutaneous Catheter Drainage in Management of Liver Abscesses Compared With Needle Aspiration

“…It can be said that in recent years image-guided percutaneous treatment (Needle aspiration or catheter drainage) has replaced surgical intervention as the primary treatment for liver abscess. [6][7][8][9] The major advantages of PNA over PCD are: 1) It is less invasive and less expensive; 2) Avoids problems related to catheter care; and 3) Multiple abscess cavities can be aspirated easier in the same setting. [10,11] However, in our study we had a success rate which was significantly lower than with catheter drainage.…”

“…[5] In recent years, image-guided percutaneous drainage has been increasingly used to treat liver abscesses with reported success rates ranging from 70-100%. [6,7,8] Although, percutaneous placement of an indwelling catheter is the method most widely preferred to drain liver abscesses. [9] recent studies have claimed needle aspiration to be a simpler, less costly and equally effective mode of treatment.…”

A Comparative Study of Percutaneous Catheter Drainage Versus Percutaneous Aspiration in the Treatment of Liver Abscess: A Retrospective Study

“…Although, percutaneous placement of an indwelling catheter is the method most widely preferred to drain liver abscesses, recent studies have shown therapeutic needle aspiration to be a simpler, less costly and equally effective mode of treatment. 5,6,7,8,9,10 In 2007, Enver Zerem I and Amir Hadzic et al did the same comparative study and concluded that "Percutaneous Drainage is more effective than percutaneous needle aspiration in the management of liver abscess. Percutaneous needle aspiration can be used as a valid alternative for simple abscesses 50mm in diameter or smaller."…”