Pyogenic liver abscess Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults =18 years Radiologically confirmed liver abscess (US/CT/MRI) Abscess =3 cm, symptomatic, or not responding to antibiotics Solitary or multiple abscesses accessible laparoscopically Failed or contraindicated percutaneous drainage, or primary laparoscopic drainage offered
Exclusion criteria
Exclusion criteria: Uncorrected coagulopathy (INR >1.5 or platelets <50×10?/L) Hemodynamic instability or septic shock unresponsive to resuscitation Diffuse peritonitis requiring immediate open surgery Extensive hepatic necrosis or malignancy precluding laparoscopic approach Severe cardiopulmonary disease making pneumoperitoneum unsafe
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complete clinical and radiological resolution of the liver abscess within 90 days after laparoscopic intervention, without need for further drainage. | — |
Secondary
| Measure | Time frame |
|---|---|
| Technical success of laparoscopic drainage, major complication rate within 30 days, abscess recurrence within 6 months, need for additional intervention (repeat or open drainage), length of hospital stay, time to clinical improvement (fever/CRP/WBC normalization), operative time and blood loss, postoperative pain and analgesic use. | — |
Countries
Egypt
Contacts
Assiut University