Chirurgia (Bucur). 2020 Nov-Dec;115(6):792-797. doi: 10.21614/chirurgia.115.6.792.
The treatment of primary psoas abscesses usually is performed by a combination of prolongued antiobiotic therapy and drainage with interventional radiology techniques. However, although this combination is usually adequate for the treatment of solitary extraperitoneal collections, the presence of multi-loculated complex abscesses requires usually multiple procedures and feruently mandates open surgery. Herein, we describe an alternative tehnique of percutaneous retroperitoneoscopic drainage of multiple extensive primary psoas abscesses using flexible endoscopy, which can enable treatment these cases as one-stop proedure in a minimally invasive manner.
原发腰大肌脓肿的治疗通常采用延长抗生素治疗和介入放射学技术引流的联合治疗。然而，尽管这种联合治疗通常足以治疗单一的腹膜外脓肿，但多房复杂脓肿的存在通常需要多次手术，并且经常需要开放手术。在此，我们描述了一种使用软性内镜经皮后腹腔镜引流多房广泛原发腰大肌脓肿的替代技术，该技术可以使这些病例能够以微创的方式作为一站式治疗。
