[A review of 139 cases of acute necrotic pancreatitis]

One hundred and thirty-nine cases of acute necrotic pancreatitis were treated in our hospital from Oct. 1975 through Feb. 1990. The mode of treatment went through three stages: (1) From Oct. 1975 to Dec. 1980, application of early operation including necrosectomy, gastrostomy, jejunostomy, choledochostomy and postoperative local peritoneal irrigation, with a survival rate of 50%; (2) From Jan. 1981 through Dec. 1987, early operation with regular pancreatectomy as the operation of choice, and peripancreatic exploration, planned postoperative debridement performed at weekly intervals, with a survival rate of 65.45%; (3) From Jan. 1988 through Feb. 1990 the adoptation of the strategy of "Individualization" consisting of early operation for those with apparent signs of inflammation and complications, and late exploration for those without signs of infection and/or complication, with a survival rate rose to 72.41%.