LAPAROTOMIC AND MINIMALLY INVASIVE SURGICAL INTERVENTIONS IN THE TREATMENT OF PYOGENIC LIVER ABSCESSES

Summary. The purpose of the study: to study the epidemiology of pyogenic liver abscesses, to evaluate the indications and results of laparotomy and minimally invasive operations. Material and methods. The epidemiology of pyogenic liver abscesses (LA) in 62 patients was studied. Research results and their discussion. The causes of LA in 25 (40.4 %) patients were acute surgical diseases, in 19 (30.5 %) – liver injury, in 6 (9.7 %) – purulent liver cyst, in 2 (3.2 %) – destructive appendicitis, in 2 (3.2 %) – penetration of a chronic stomach ulcer in the liver, in 1 (1.6 %) – pelvic abscess, in 2 (3.2 %) – a rare pathology (small-small intestinal intussusception-1 , perforation by a fish bone of the stomach and liver-1), in 5 (8.1 %) - the cause is not established. According to absolute indications, laparotomy and LA drainage were performed in 49 (79 %) patients, of which 23 (46.9.5 %) underwent additional correction of acute surgical pathology. Various variants of liver resection were performed in 11 (29 %) patients. Postoperative complications occurred in 16 (32.6 %) patients, 4 (8.2 %) died. Minimally invasive surgical interventions were performed in 13 (21 %) patients without complications or mortality. Conclusions. Laparotomy operations were performed according to absolute indications. Minimally invasive technologies have reduced postoperative complications and mortality.