Data on surgical indications in necrotizing pancreatitis--results of a validation study
Roscher, R.; Büchler, M.; Bittner, R.; Beger, H.G.
Zentralblatt für Chirurgie 114(2): 77-83
1989
ISSN/ISBN: 0044-409X PMID: 2922970 Document Number: 330585
134 patients with necrotizing pancreatitis were operated. Preoperative organ insufficiency (pulmonary or renal), the presence of shock or sepsis and the intraoperative morbidity factors: parenchymal necroses greater than 30%, extrapancreatic necroses, ascites and in particular bacterial contamination were directly correlated with prognosis and mortality. The occurrence of these morbidity factors consequently signifies an urgent indication for operation.