Please use this identifier to cite or link to this item: https://doi.org/10.1007/s00464-013-2910-y
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dc.titleLaparoscopic drainage of cryptogenic liver abscess
dc.contributor.authorTan, L.
dc.contributor.authorZhou, H.J.
dc.contributor.authorHartman, M.
dc.contributor.authorGanpathi, I.S.
dc.contributor.authorMadhavan, K.
dc.contributor.authorChang, S.
dc.date.accessioned2014-11-26T05:03:58Z
dc.date.available2014-11-26T05:03:58Z
dc.date.issued2013-09
dc.identifier.citationTan, L., Zhou, H.J., Hartman, M., Ganpathi, I.S., Madhavan, K., Chang, S. (2013-09). Laparoscopic drainage of cryptogenic liver abscess. Surgical Endoscopy and Other Interventional Techniques 27 (9) : 3308-3314. ScholarBank@NUS Repository. https://doi.org/10.1007/s00464-013-2910-y
dc.identifier.issn09302794
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/108978
dc.description.abstractBackground: To retrospectively compare the outcomes of percutaneously drained and laparoscopically drained liver abscesses. Methods: Eight-five consecutive patients with radiological evidence of liver abscess were treated at National University Hospital of Singapore from 2005 to 2011. Multivariable logistic regression was used to identify failures of intervention. This was defined as persistent objective signs of sepsis. Complications, length of antibiotic therapy, and hospital stay were recorded but not used as indicators for failure of intervention. A propensity score analysis was used to adjust for possible confounders. Results: Twenty-seven (40.3 %) patients in the percutaneous group did not respond to primary intervention compared to 2 patients (11.1 %) in the laparoscopic group (p = 0.020). Two patients within the percutaneous group died from progression of sepsis despite intervention. In the multivariate model with propensity score, laparoscopic drainage had a protective effect against failure compared to percutaneous drainage of liver abscess (odds ratio [OR], 0.03; 95 % confidence interval [CI], [0-0.4]; p = 0.008). There were no differences in complications related to the intervention (p = 0.108). Mean duration of antibiotics (p = 0.437) and hospital stay (p = 0.175) between the groups was similar. Conclusions: Laparoscopic drainage of cryptogenic liver abscesses should be considered as an option for drainage of liver abscess. © 2013 Springer Science+Business Media New York.
dc.description.urihttp://libproxy1.nus.edu.sg/login?url=http://dx.doi.org/10.1007/s00464-013-2910-y
dc.sourceScopus
dc.subjectLaparoscopic drainage
dc.subjectLiver abscess
dc.subjectPercutaneous drainage
dc.subjectSepsis
dc.typeArticle
dc.contributor.departmentSAW SWEE HOCK SCHOOL OF PUBLIC HEALTH
dc.description.doi10.1007/s00464-013-2910-y
dc.description.sourcetitleSurgical Endoscopy and Other Interventional Techniques
dc.description.volume27
dc.description.issue9
dc.description.page3308-3314
dc.identifier.isiut000323621500031
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