Laparoscopic Surgery for Intra-abdominal Ruptured Liver Abscess: A study of 32 cases

Objectives: The purpose of this study is to see the efficacy of laparoscopic treatment in the management of intra-abdominal ruptured liver abscess.Patients and Methods: From 2014 to 2018, 32 patients with intra-abdominal ruptured liver abscess meeting entry criteria received laparoscopic surgical management in our hospital.Clinical data including operation time, postoperative complication rate, length of postoperative hospital stay was retrospectively analyzed.Results: 32 patients with a median age of 53.3 ± 15.3 years (range, 24-85 years).The mean of operating time was 105 ± 28 minutes (median 100 minutes, range: 60 -185 minutes).Time to pass gas after surgery was 2,8 ± 1,6 days in average (range: 1 -6 days).The mean of time to remove drains was 10 ± 5 days (range: 3 -27 days).The mean time of post-operative stay was 12,5 ± 6,9 days (rang: 3 -30 days).Postoperative complications occurred in 8 patients (25.0%) (3 cases of local ascite, 2 cases of pneumoniae, 1 case wound bleeding, 1 bile duct leak, 1 wound infection), and all complications were successfully managed.Conclusion: Laparoscopic drainage is highly effective in management of large and freely ruptured abscess with decreased mortality, postoperative recovery and complications