[Minimally invasive interventions in the treatment of patients with acute necrotizing pancreatitis]
Objectives:
Improve outcomes in patients with acute necrotizing pancreatitis by the differential application of minimally invasive interventions.
Methods:
The results of treatment of 97 patients with acute necrotizing pancreatitis requiring minimally invasive surgical intervention were retrospectively analyzed. Percutaneous catheter drainage were used in 76.2% of cases. All patients were divided into two groups based on the effectiveness of minimally invasive interventions.
Results:
Minimally invasive interventions were the final method of surgical treatment in the 69 patients (1st group). Patients of 2nd group (28.9%) underwent additional traditional surgical necrosectomy. The overall mortality rate was 9.7%. In 1st group died 5 patients (7.2%), in the 2nd--4 (14.3%). Complications of percutaneous catheter drainage (bleeding, damage to organs, catheter dislodgement) were found in 18.1%.
Conclusions:
The use of minimally invasive techniques in combination with conservative therapy can decrease treatment time, the rate of morbidity and mortality in patients with acute necrotizing pancreatitis.
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