[Necrosectomy and laparostoma as a surgical therapy concept of acute necrotizing pancreatitis].
121 patients with acute necrotizing pancreatitis were treated according to a surgical regimen of necrosectomy, drainage by laparostomies and repeated revisions. Changing the protocol from revisions on demand to scheduled reexplorations resulted in an improvement of mortality from 53% to 28%. The high incidence of gastrointestinal fistulas (30%) associated with this regimen could be decreased to 5% by a more individual protocol with longer intervals of revisions in the later course. Mortality was 21% following this regimen.
Függer
R
R
I. Chirurgische Universitätsklinik, Wien.
Schulz
F
F
Fritsch
A
A
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004766:Enterostomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010180:Pancreatectomy; D010195:Pancreatitis / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality*
Nekrosektomie und Laparostoma als chirurgisches Therapiekonzept der akuten nekrotisierenden Pankreatitis.