[The results of treatment of acute haemorrhagic necrotizing pancreatitis in the own material].
OBJECTIVE
The retrospective estimation of surgical procedure and the results of treatment of haemorrhagic necrotizing pancreatitis in the own material.


METHODS
The estimated group consist of 161 patients from the clinic treated for heavy grade of acute pancreatitis. Characteristics which qualified patients to the chosen group were: aggravating general condition, biochemical parameters of disease's progression, results of radiological investigations (USG, CT of abdomen) and bacteriological culture from peritoneal cavity.


RESULTS
142 patients (88.2%) were surgically treated in different duration periods of illness (from 0 to 53 day of illness). Firstly, they were intensively treated with conservative treatment. After about 9.6 days they were operated on (from 0 to 51 day of treatment). Clinical symptoms such as: rapid aggravating general condition of patients, septic shock, as well as infected necrosis in radiological and bacteriological investigations, were indication to surgical intervention. The methods of surgical treatments were: laparotomy and flow drainage 73 patients, closed drainage 31 patients, repeated relaparotomy 25, Bradley's method 13. Mortality in the group of operated patients was 5.9%. The most common causes of death were: respiratory insufficiency 29.4%, multiorgan insufficiency 21.6%, circulatory insufficiency 13.8%, insufficiency of kidneys 9.8%


CONCLUSIONS
The authors suggest that the most important in deciding about necessity and time of surgical intervention of haemorrhagic necrotizing acute pancreatitis are individual clinical characteristics of patients. The lowest mortality was in the group of operated patients in later period of illness and who did not required reoperation.
Jabłoński
Sławomir
S
Klinika Chirurgii Ogólnej i Torakochirurgii UM w Lodzi. jabloński_s@poczta.onet.pl
Brocki
Marian
M
Sapiezko
Jan
J
Kordiak
Jacek
J
Kutwin
Leszek
L
Gruda
Robert
R
Terlecki
Artur
A
Klejszmit
Piotr
P
Wawrzycki
Marcin
M
Wcisło
Szymon
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006470:Hemorrhage / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications* / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies