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  • Title: Aggressive hepatic resection for patients with pyogenic liver abscess and APACHE II score > or =15.
    Author: Hsieh HF, Chen TW, Yu CY, Wang NC, Chu HC, Shih ML, Yu JC, Hsieh CB.
    Journal: Am J Surg; 2008 Sep; 196(3):346-50. PubMed ID: 18718219.
    Abstract:
    BACKGROUND: Most liver abscesses resolve after antimicrobial therapy or percutaneous tube drainage (PD). The aim of this study was to evaluate the results of hepatic resection (HR) for patients with pyogenic liver abscesses and an Acute Physiology and Chronic Health Evaluation II (APACHE II) score > or =15. METHODS: We compared the clinical outcomes of 81 patients with APACHE II scores > or =15 undergoing PD and/or HR. RESULTS: The failure rate (3 of 65) and double-treatment rate (32 of 65) in the PD group were significantly higher than in the HR group (3 of 35 vs 0 of 35; P = .0002). The mortality rate in the PD group was significantly higher than the other 2 groups (14 of 46 vs 2 of 19 and 1 of 16; P = .038). The length of hospital stay was significantly shorter and antibiotic use less in the HR group than in the PD group (P < .05). CONCLUSIONS: Aggressive HR for patients with liver abscesses and APACHE II scores > or =15 produced better clinical outcomes.
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