STEP-UP COMBINED SURGICAL TACTICS IN THE TREATMENT FOR SEVERE ACUTE PANCREATITIS

Abstract

Acute pancreatitis remains a major concern of urgent surgery. The aim of the research was to study the results of the use of step-up combined surgical treatment of patients with severe acute pancreatitis. The aim of the research was to study the results of the surgical treatment of 72 patients with severe extensive unlimited pancreatic necrosis. The surgical treatment for severe acute pancreatitis may consist of several steps. The first step is the drainage of the sterile or infected nidi of pancreatic necrosis under ultrasound guidance. The second step includes laparotomy and/or lumbotomy with stepped necrosectomy and debridement (in case of an ineffective first step). The combination of the minimally invasive treatment with «open» surgery can improve the treatment outcomes in the patients with unlimited forms of severe acute pancreatitis.