Complex Pyogenic Liver Abscess: Outcome of Open vs Laparoscopic Drainage

OBJECTIVES Our study aimed to evaluate the safety and efficacy of laparoscopic drainage as a management complex pyogenic liver abscesses in comparison open surgical drainage. METHODOLOGY The comparative research design was used compare outcomes, complications, perioperative morbidity, mortality, potential recurrence 60 patients with abscess who were hospitalized at General Surgery Department Hayatabad Medical Complex Peshawar treated either laparoscopically or openly from January 2019 December 2020. 30 had management, while received management. For all patients, pus examined for culture sensitivity. Patients small, solitary unilocular that improved antibiotic therapy or/and percutaneous excluded. Each patient thorough clinical evaluation, lab tests, ultrasound, computed tomography, magnetic resonance imaging pelvis abdomen. RESULTS All underwent abdominal ultrasonography & sonographic diagnosis made 43(71.7%), followed by tomography scan (CT) 12(20%) (MRI) 5(8.3%) respectively. Diabetes mellitus present 15(25%) severe chronic obstructive pulmonary disease 10(16.7%) anemia 9(15%) patients. individuals associated co-morbidity considered high-risk CONCLUSION Laparoscopic has shorter time, lower morbidity rate, hospital stay compared