Treatment of patients with liver abscess

Bulgarian Medical Journal, 2024, 18(2), 28-31.

P. Chernopolsky, V. Bozhkov

UMBAL “Sv. Marina”, Medical University – Varna

Abstract. Liver abscess and its complications are among the common problems in surgical practice. During 2019-2021, in the Second Surgery Clinic of UMBAL “St. Marina” – Varna, 26 patients with liver abscess were treated. The ratio of women and men was 1:1.36. Ultrasonography (US) was used to determine the abscesses’ number, size, location and possible percutaneous aspiration. We used three types of drainage techniques: percutaneous drainage under the US or computed tomography (CT) guidance (with or without catheter placement) (9 patients), surgical drainage (16 patients), and drainage by ERCP (1 patient). Early diagnosis and treatment is a crucial step in treating these patients. The main prerequisites for favorable therapeutic results are the correct choice of surgical approach, good knowledge of the problem and anatomical features, and the presence of a highly qualified team.

Key words: liver abscess, drainage, laparoscopy

Address for correspondence: Assoc. Prof. P. Chernopolsky, DSc, Second Department of Surgery, UMHAT “Sv. Marina” – Varna, e-mail: pchernopolsky@gmail.com