Surgical treatment of severe acute pancreatitis
Netto, M.Z.; Paye, F.ço.
La Revue du Praticien 61(2): 226-228
2011
ISSN/ISBN: 0035-2640 PMID: 21618776 Document Number: 654431
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.