Efficacy of radiofrequency ablation in treatment of complicated pyogenic liver abscess
10.3760/cma.j.issn.1007-8118.2018.08.001
- VernacularTitle:射频消融治疗难治性细菌性肝脓肿
- Author:
Shan KE
1
;
Shaohong WANG
;
Xinliang KONG
;
Jun GAO
;
Xuemei DING
;
Qiang WANG
;
Jian KONG
;
Li XU
;
Wenbing SUN
Author Information
1. 100043,首都医科大学附属北京朝阳医院西院肝胆胰脾外科
- Keywords:
Pyogenic liver abscess (PLA);
Radiofrequency ablation (RFA);
Therapy
- From:
Chinese Journal of Hepatobiliary Surgery
2018;24(8):505-509
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of radiofrequency ablation (RFA) in treatment of complicated pyogenic liver abscess (PLA).Methods A 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.Results The 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.Conclusions RFA 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.
