title: [Surgical treatment of severe acute pancreatitis].
abstract: Necrosectomy and drainage, mostly surgically performed, are indicated in front of superinfection of pancreatic necrosis proven by percutaneous bacteriological puncture or when the clinical status of the patient deteriorates despite maximal intensive care, without proven infection of necrosis. Early necrosectomy (within the first two or three weeks) carries a risk of postoperative mortality around 50%. To delay further the necrosectomy is advisable when it is compatible with patient's status.
authors: Service de chirurgie digestive, hôpital Saint-Antoine, AP-HP, 75012 Paris.
authors: Martin Zavadinack
authors: MZ
authors: Netto
authors: François
authors: F
authors: Paye