| Abstrakt: |
A differentiated staged surgical tactics for treatment of an acute necrotic pancreatitis, based on theory of an acute necrotic pancreatitis phased course, was elaborated and introduced. Sanation and drainage under ultrasonographic control have promoted the patients state stabilization with further stage of laparotomic intervention, in 26.87% of patients of the main group were a residual interventions performed, while in a control group--in 13.19%. Efficacy of a videocontrolled sanation and drainage of retroperitoneal space, using nephroscope, was proved. New methods of miniinvasive surgical treatment of pancreonecrosis, the septic-purulent complications prophylaxis were elaborated. The rate of laparotomy performance was reduced from 57.14%--in a control group down to 33.07%--in the main group. Lethality in the main group was 6.72%, postoperative lethality--9.83%, a morbidity rate in patients have reduced in 2.26 times. |
