title: [Modified strategy of the treatment of patients with necrotic pancreatitis].
abstract: New principle of choice of the surgical treatment method in patients with necrotic pancreatitis was proposed: different operative procedures don't compete one another but are applied in accordance with the disease stage in dynamics. Such tactics permits to choose an optimal surgical approach in every phase of pathologic process course. From 1989 till 1992 the surgical treatment for necrotic pancreatitis was conducted to 54 patients. Pancreatic resection was done to 14 (25.9%) of patients, 4 of whom died. In necrotic focus delimitation or pancreatic tissue sequestration, observed in terms of more than 2 weeks since the disease beginning, necrectomy was conducted in 40 (74.1%) of patients, 4 of whom died.
authors.forename: A A
authors.initials: AA
authors.lastname: Shalimov
authors.forename: Iu Z
authors.initials: IuZ
authors.lastname: Lifshits
authors.forename: V V
authors.initials: VV
authors.lastname: Kryzhevskiĭ
authors.forename: S P
authors.initials: SP
authors.lastname: Kozhara
authors.forename: E V
authors.initials: EV
authors.lastname: Gorshenkova
authors.forename: M V
authors.initials: MV
authors.lastname: Zemskova
authors.forename: S Iu
authors.initials: SIu
authors.lastname: Gorbachev
authors.forename: I A
authors.initials: IA
authors.lastname: Krivoruchko
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010179:Pancreas / Q000473:pathology / Q000601:surgery; D010180:Pancreatectomy; D010195:Pancreatitis / Q000473:pathology / Q000601:surgery*; D013997:Time Factors
vernacular_title: Modifitsirovannaia taktika lecheniia bol'nykh s nekroticheskim pankreatitom.