title: [Indications and long term results after surgical treatment for necrotic acute pancreatitis (author's transl)].
abstract: A series of 50 patients with acute pancreatitis, all complicated by necrosis and hemorrhage, is presented. Cases are broken down into 3 main categories depending on clinical and laboratory data. Thirty-nine partial pancreatectomies and 11 excisions of necrotic tissue were performed. Operative mortality is 36%. Causes of death and morbidity were analysed. Are discussed modalities of surgery from clinical and intraoperative findings. Surgical procedure is completed by generous washings of the abdominal cavity followed by continuous drainage. External biliary diversion is assumed by mews of choledocostomy. Surgical procedure is to be adapted to local conditions because a too systemic attitude is dangerous and possibly responsible of over treatment complications. Postoperative clinical behavior is of great importance when one know that reoperatives in such difficult situation are frequent.
mesh_terms: D000208:Acute Disease; D004322:Drainage; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D009336:Necrosis; D010180:Pancreatectomy / Q000401:mortality; D010195:Pancreatitis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D007507:Therapeutic Irrigation
vernacular_title: Indications opératoires et résultats à court et moyen termes de traitement chirurgical des pancréatites aiguês Nécrotico-hémorragiques.