[Surgery of pancreatic necrosis]

Surgical intervention in the presence of pancreatic necrosis was indicated if infection of necrosis developed. The demonstration of necrosis by CT, without clinical evidence of infection was not sufficient for operation. From 155 patients with necrotizing pancreatitis 134 had an operation upon. Surgical technique was the necrotectomy, drainage formation of a compartment and the periodic local lavage of the pancreatic cavum. 53 (39%) of 134 operated patients died.