[Surgical treatment of acute necrotizing pancreatitis]

The purpose of this work is to summarize the experience in treatment of patients with acute destructive pancreatitis and to carry out comparative analysis of the results of "open" and "closed" types of the treatment for this disease. 233 patients of the study group underwent surgery which demanded parietal deperitonization and mobilization of the pancreas from the retroperitoneal space, drainage of all parts of retropancreatic bat and drainage of biliary tracts, total continuous retroperitoneal neuro-vegetative blockade, local hypothermia and omentobursostomy with further regular elective pancreosequesf8p4omies and sanation of the cavity of the omental bursae with local sorbtion--dehydration therapy. The number of the days of inhospital stay in the study group made up 43.5 +/- 3.3, and in the control group--64.2 +/- 4.1 (p < 0.05). The level of postoperative complications in the study group made up 36.6%, in control group--85.1%, lethality being 18.2 and 50.0%, respectively. In the study group long-term unfavourable follow-up results were obtained only in 2.9% of patients, whereas in control group--in 31.6%.