Liu QZ, Zeng L, Sun NZ. Feasibility analysis of ultrasound-guided percutaneous catheter drainage for pyogenic liver abscess in non-liquefied stages. World J Gastrointest Surg 2026; 18(1): 113758 [PMID: 41695863 DOI: 10.4240/wjgs.v18.i1.113758]
Corresponding Author of This Article
Nian-Zhe Sun, MD, National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Kaifu District, Changsha 410008, Hunan Province, China. sunnzh201921@sina.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
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World J Gastrointest Surg. Jan 27, 2026; 18(1): 113758 Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.113758
Feasibility analysis of ultrasound-guided percutaneous catheter drainage for pyogenic liver abscess in non-liquefied stages
Qin-Zhi Liu, Lei Zeng, Nian-Zhe Sun
Qin-Zhi Liu, Lei Zeng, Nian-Zhe Sun, National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China
Qin-Zhi Liu, Lei Zeng, Nian-Zhe Sun, Department of Orthopedics, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China
Co-corresponding authors: Lei Zeng and Nian-Zhe Sun.
Author contributions: Liu QZ wrote the first draft and developed the main ideas; Zeng L directed the analytical framework, coordinated interdisciplinary collaborations, and supervised the interpretation of results alongside manuscript finalization; Sun NZ spearheaded the conception and design of the study, provided critical revision of the manuscript, and led revisions; Zeng L and Sun NZ contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors thoroughly reviewed and endorsed the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Nian-Zhe Sun, MD, National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Kaifu District, Changsha 410008, Hunan Province, China. sunnzh201921@sina.com
Received: September 3, 2025 Revised: September 19, 2025 Accepted: November 5, 2025 Published online: January 27, 2026 Processing time: 141 Days and 6.7 Hours
Core Tip
Core Tip: This article evaluated a retrospective study by Qiu et al, which demonstrated that ultrasound-guided percutaneous catheter drainage for non-liquefied pyogenic liver abscesses reduced hospitalization duration, accelerated fever resolution, and promoted abscess volume reduction compared to traditional “wait-for-liquefaction” management, with no increased procedural risks. Current clinical practice recommends early percutaneous catheter drainage for patients with severe symptoms or compromised immunity, whereas antibiotic therapy remains the primary approach for small abscesses or mild cases. Dynamic imaging reassessment and multidisciplinary collaboration are critical for individualized management. Large-scale multicenter prospective randomized controlled trials are still required to validate the efficacy of this precision-driven paradigm shift in pyogenic liver abscess treatment.
