Copyright
©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2025; 17(7): 107544
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.107544
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.107544
Clinical application of ultrasound-guided surgical puncture and drainage in early treatment of pyogenic liver abscess
Feng Qiu, Tian-Chi Yang, Wei Han, Department of General Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China
Author contributions: Qiu F drafted the manuscript and gave final approval of the version to be published; Yang TC and Han W designed the study, and collected and analyzed the data; all authors thoroughly reviewed and endorsed the final manuscript.
Institutional review board statement: This study was approved by the Beijing Luhe Hospital Ethics Committee.
Informed consent statement: We guarantee that all the medical data used in this study are the data agreed to be provided by the subjects and do not contain any data that the subjects have explicitly refused to use before.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
Data sharing statement: Not applicable.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei Han, MD, Doctor, Department of General Surgery, Beijing Luhe Hospital, Capital Medical University, No. 82 Xinhua South Road, Tongzhou District, Beijing 101149, China. diovne@163.com
Received: March 28, 2025
Revised: April 15, 2025
Accepted: May 21, 2025
Published online: July 27, 2025
Processing time: 117 Days and 3.4 Hours
Revised: April 15, 2025
Accepted: May 21, 2025
Published online: July 27, 2025
Processing time: 117 Days and 3.4 Hours
Core Tip
Core Tip: This study demonstrated that early ultrasound-guided percutaneous drainage (PCD) is safe and effective for pyogenic liver abscess (PLA), even in non-liquefied abscesses. By analyzing 143 PLA patients, we found that non-liquefied cases treated with early PCD had shorter hospital stays (3.9 vs 5.1 days), faster fever resolution (2.4 vs 4.9 days), and quicker abscess shrinkage compared to liquefied abscesses, with no increase in complications. These results challenge the traditional requirement for abscess liquefaction prior to intervention, advocating for early PCD to accelerate recovery and reduce healthcare burdens. This approach redefines clinical strategies for PLA management.