• Volodymyr Shaprynskyi National Pirogov Memorial Medical University
  • Viktor Makarov National Pirogov Memorial Medical University
  • Vasylysa Suleimanova National Pirogov Memorial Medical University
  • Yevhen Shaprynskyi National Pirogov Memorial Medical University
  • Stepan Skalskyi National Pirogov Memorial Medical University
Keywords: liver abscess, mini-invasive surgery, laparoscopic liver surgery, drainage of liver abscess, puncture of liver abscess


According to MEDLINE database there were about 1278 papers on liver abscess published in a period from 2001 to 2015.

The aim of the study is to improve liver abscess treatment results comparing minimally invasive and traditional operative techniques.

Materials and methods. 137 patients were included in the study and divided on two comparison groups. Traditional methods were used for the treatment of 66 participants of the control group (48.2 %). For 71 patients (51.8 %) of the general group the mini-invasive drainages were predominating.

Results. Cholangiogenic causes of liver abscesses were found in 41 patients (29.93±3.91 %), cryptogenic ones – in 37 (27.01±3.79 %), haematogenous causes – in 29 (21.17±3.49 %), contact ones – in 16 (11.68±2.75 %), posttraumatic ones – in 11 (8.03±2.32 %) and purulent destruction of metastases – in 3 (2.19±1.25 %).

Single abscesses occurred more often – in 117 (85.40±3.02 %), multiple once – in 20 (14.60±3.02 %). Mostly 3, 6 and 7 liver segments were damaged – 19 (13.88±2.95 %), 35 (25.55±3.73 %), 44 (32.12±3.99 %).

In control group, the abscess drainage via laparotomy was performed on 58 patients (87.88±4.02 % of 66 ones) versus 21 (29.58±5.42 % of 71 ones) in general group. Percutaneous drainage was used in 8 (12.12±4.02 %) and in 44 (61.97±5.76 %) cases respectively. 6 or 8.45±3.30 % laparoscopic interventions were used only in the general group. Finally, mini-invasive drainages were applied in the greater part of general group - 50 (70.42±5.42 %) versus 8 ones (12.12±4.02 %) in control group.

Conclusions. Minimally invasive liver abscess drainages showed a significant reduction of postoperative complications from 24.24±5.27 % in the control group to 12.66±3.95 % in the general group, shortening of hospital terms from 14.6±1 in control to 5.2±0.8 days and decreasing of mortality from 7.58±3.26 % to 2.82±1.96 %.


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Author Biographies

Volodymyr Shaprynskyi, National Pirogov Memorial Medical University

Department of Surgery No. 1

Viktor Makarov, National Pirogov Memorial Medical University

Department of Surgery No. 1

Vasylysa Suleimanova, National Pirogov Memorial Medical University

Department of Surgery No. 1

Yevhen Shaprynskyi, National Pirogov Memorial Medical University

Department of Surgery No. 1

Stepan Skalskyi, National Pirogov Memorial Medical University

Department of Surgery No. 1


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How to Cite
Shaprynskyi, V., Makarov, V., Suleimanova, V., Shaprynskyi, Y., & Skalskyi, S. (2020). LIVER ABSCESSES: A 10-YEAR VINNYTSYA UNIVERSITY STUDY. EUREKA: Health Sciences, (1), 10-14.
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