[Necrectomy and sequestrectomy in the surgical treatment of necrotizing pancreatitis]

The author analysed the results of pancreonecrosis management in 23 patients who were subjected to necrectomy and sequestrectomy. Necrectomy was conducted in three variants according to the depth at which the necrotic focus was found in the parenchyma of the pancreas. The best results were produced in patients with solitary foci of necrosis who were operated on the second week of the disease. Sequestration fo the pancreas was diagnosed from the clinical picture, scanning of the pancreas and angiography were performed. Sequestration is a technologically difficult operation which is fraught with the development of many complications, its success depends on the radical character of the removal of all sequestered areas and adequate drainage.