[Data on surgical indications in necrotizing pancreatitis--results of a validation study].
134 patients with necrotizing pancreatitis were operated. Preoperative organ insufficiency (pulmonary or renal), the presence of shock or sepsis and the intraoperative morbidity factors: parenchymal necroses greater than 30%, extrapancreatic necroses, ascites and in particular bacterial contamination were directly correlated with prognosis and mortality. The occurrence of these morbidity factors consequently signifies an urgent indication for operation.
Roscher
R
R
Abteilung für Allgemeinchirurgie, Universität Ulm.
Büchler
M
M
Bittner
R
R
Beger
H G
HG
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010179:Pancreas / Q000473:pathology; D010195:Pancreatitis / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality*; D011446:Prospective Studies; D012307:Risk Factors
Daten zur Operationsindikation bei nekrotisierender Pankreatitis--Ergebnisse einer Validisierungsstudie.