[Minimally invasive surgery of pancreonecrosis--progress and problems]

An analysis of treatment of 133 patients with acute pancreatitis using minimally invasive surgical interventions (laparoscopic and puncture-draining operations) has shown that in cases of total pancreonecrosis these methods were little effective in most cases as a definitive method of surgical treatment and may be considered as the first stage of complex process of treatment. However, for certain forms of pancreonecrosis the minimally invasive surgery plays one of the leading roles in the improvement of results of treatment in the general population of patients with destructive pancreatitis.