TREATMENT OF ACUTE DESTRUCTIVE PANCREATITIS AT THE EARLY STAGES OF THE DISEASE

The incidence of acute pancreatitis in the world is steadily increasing. The proportion of patients with pancreatitis is 15–20%. Thus mortality associated with the level of necrosis is 60% or higher. One of the possible ways to reduce the mortality of pancreatic necrosis are the use of minimally invasive methods, because only the timely and adequate treatment can lead to a restriction of the pathological process in the pancreas and a favorable outcome of the disease.

Material of this paper were the results of a prospective and retrospective survey of 80 patients with various forms of acute pancreatitis of different etiology, divided into three groups depending on the applied method of treatment and the severity of endogenous intoxication .

Application of minimally invasive interventions, as the main form of staged or surgical treatment at the early stages of acute pancreatitis, significantly reduces the duration of hospital stay (from 67.4 to 20.2 days), postoperative mortality (from 38.7% to 12.5% in the laparoscopic drainage and 7.4 % at puncture drainage operations use US-control).