Причини післяопераційної летальності при гострому некротичному панкреатиті

Abstract

There is an analysis of surgical treatment of 125 patients with severe forms of an acute pancreatitis. The indication to operation were: clinic of a peritonitis at 117 (93,6%) patients, increase of a mechanical jaundice at 4 (3,2 %) patients, a bleeding from areas of necrosis at 4 (3,2 %) patients. 80 patients had an infected pancreonecrosis. 80 patients had an injury of retroperitoneal cellulose. 34 patients died. Factors that influence in outcome were: infected pancreonecrosis, injury of retroperitoneal fat, cachexia, obesity, inefficiency of cardiovascular system , presence of injury of liver.