[Acute pancreatitis--discontinuation of conservative therapy, indications for operation and operation technic]

The surgical treatment of acute pancreatitis aims at the removal of stones in the distal biliary duct, toxic implications and necroses and to treat complications. The correct diagnosis, according to the 3 stages of Kümmerle is the basis for surgery. This staging is possible to a high degree of security by angio-CT and sonography. The effect of the following modalities has been proven: Early peritoneal dialysis which, however, decreases lethality only in combination with a delayed operation; removal of the biliary duct obstruction, and necrosectomy in stage II from the second week onwards. Early duodeno-pancreatectomy did not prove to be a successful procedure.