[Surgical treatment of extensive pancreonecrosis]

From 1991 to 1994 years 52 patients with extensive pancreonecrosis underwent operations, final stage of which being creation of omentoburso-pancreatic stoma. Cardinal stages of the operation were: broad exposure of the bursa omentalis, cutting of pancreatic capsula and drainage of retropancreatic space, interventions on biliary ducts. Presence of omentobursopancreatic stoma enables regular control and sanation of omental bursa in postoperative period, to perform sequestrectomy from pancreatic gland and parapancreatic cellular tissue, to apply medical media of ointment type on aqual soluble base and on draining sorbents on the region of pathological process. In case of such complication as arrosion hemorrhage it provides control through omentobursopancreatic stoma. Postoperative mortality rate made up 25%.