Necrosectomy and laparostoma as a surgical therapy concept of acute necrotizing pancreatitis
Függer, R.; Schulz, F.; Fritsch, A.
Helvetica Chirurgica Acta 58(5): 627-632
1992
ISSN/ISBN: 0018-0181 PMID: 1592626 Document Number: 403336
121 patients with acute necrotizing pancreatitis were treated according to a surgical regimen of necrosectomy, drainage by laparostomies and repeated revisions. Changing the protocol from revisions on demand to scheduled reexplorations resulted in an improvement of mortality from 53% to 28%. The high incidence of gastrointestinal fistulas (30%) associated with this regimen could be decreased to 5% by a more individual protocol with longer intervals of revisions in the later course. Mortality was 21% following this regimen.