Original Article
Efficacy of radiofrequency ablation in treatment of complicated pyogenic liver abscess
Shan Ke, Shaohong Wang, Xinliang Kong, Jun Gao, Xuemei Ding, Qiang Wang, Jian Kong, Li Xu, Wenbing Sun
Published 2018-08-28
Cite as Chin J Hepatobiliary Surg, 2018, 24(8): 505-509. DOI: 10.3760/cma.j.issn.1007-8118.2018.08.001
Abstract
ObjectiveTo evaluate the efficacy of radiofrequency ablation (RFA) in treatment of complicated pyogenic liver abscess (PLA).
MethodsA retrospective analysis was conducted on 20 patients with complicated PLA treated from August 2010 to January 2018 in the West Campus of Beijing Chao-yang Hospital which is Affiliated to the Capital Medical University and Rizhao Central Hospital of Shandong Province. These patients were treated with RFA based treatment modalities using CT-guided or laparoscopy combined with Ultrasound-guided RFA. The successful rate, efficacious rate and safety of RFA were respectively analyzed. Routine follow-up was carried out after treatment.
ResultsThe successful rate of RFA was 100%. The median operation time was 45 minutes. All the 20 patients were cured by one session of RFA. The multilocular lesion in one patient was converted to a unilocular lesion after one session of RFA. The patient was then cured by percutaneous hepatic abscess drainage. No serious complications were observed.
ConclusionsRFA was safe and efficacious. It should be considered as an alternative treatment for patients with complicated PLA who were not responsive to, or not applicable to antibiotics treatment and radiological intervention.
Key words:
Pyogenic liver abscess (PLA); Radiofrequency ablation (RFA); Therapy
Contributor Information
Shan Ke
Department of Hepatobiliary-Pancreatic-Splenic Surgery, West Campus, Beijing Chao-yang Hospital Affiliated to Capital Medical University, Beijing 100043, China
Shaohong Wang
Xinliang Kong
Jun Gao
Xuemei Ding
Qiang Wang
Jian Kong
Li Xu
Wenbing Sun
