[Clinical study on the type of operation in the treatment of acute necrotizing pancreatitis].
The type of operation in the treatment of acute necrotizing pancreatitis (ANP) is still controversial. Seventy-two surgical cases of ANP by using three different approaches since 1985 were analyzed retrospectively. The total mortality rate was 25%. The sump drainage was used in 28 cases, marsupialization in 11 cases and retroperitoneal drainage in 33 cases. The mortality rates were 25%, 36.4% and 21% respectively. The selection of approaches should be determined by clinical pathological types and by whether or not there is a retroperitoneal invasion. Sump drainage is a simple approach for ANP and is preferable in cases of sporadic focal necrosis. For extensive fusional pancreatic necrosis not complicated with retroperitoneal invasion, marsupialization is used, and in those with the invasion retroperitoneal drainage is the procedure of choice.
Yan
L N
LN
First Affiliated Hospital, West China University of Medical Sciences, Chengdu.
Zhang
Z D
ZD
Liu
X B
XB
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D004322:Drainage / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010195:Pancreatitis / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies