Necrosectomy by lavage in the surgical treatment of severe necrotizing pancreatitis. Results in 263 patients.
A conservative surgical technique for treatment of necrotizing pancreatitis is described. Standardized since 1976, the technique is based on washout mechanical necrosectomy accomplished by lavages via intraoperatively placed wide-bore drainage tubes. The overall mortality rate from necrotizing pancreatitis was thereby reduced from 61% (with resective technique) to 18%, and in 106 cases observed from the onset of the disease the mortality fell to only 6.6%. The series included also patients with fulminant acute pancreatitis and multiorgan failure.
Pederzoli
P
P
Department of Surgery, University of Verona, Italy.
Bassi
C
C
Vesentini
S
S
Iacono
C
C
Nicoli
N
N
Mangiante
G
G
Corrà
S
S
Falconi
M
M
Nifosi
F
F
Girelli
R
R
D000208:Acute Disease; D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D009336:Necrosis; D010195:Pancreatitis / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D015996:Survival Rate; D007507:Therapeutic Irrigation