Results of surgical treatment for acute pancreatitis.

ABSTRACT

The results following the surgical treatment of acute pancreatitis in 67 patients are presented. The malefemale ratio was 1.51; the average age for all patients was approximately 54.5 years. From an etiological viewpoint, biliary pancreatitis was found in 50.7% of the cases, followed by alcoholic (32.8%), idiopathic (7.5%), postoperative (6%) and traumatic (3%) pancreatitis. In most cases drainage operations were performed (92.5%) in conjunction with necrosectomy, whilst resectional techniques were used in five patients (7.5%). The perioperative mortality for all patients was 30%; it was higher among patients operated upon in the first week (44%) than in those whose operation was delayed (12.9%). The extent of organ necroses and the presence of extrapancreatic necroses were of decisive prognostic significance. The findings are compared with data given in the literature.