Surgical management of acute necrotizing pancreatitis: a 13-year experience and a systematic review
- Nieuwenhuijs, V. B.
- Besselink, M. G. H.
- van Minnen, L. P.
- Gooszen, H. G.
DOIAbstract
BACKGROUND: The course of acute pancreatitis (AP) is unpredictable and can vary from mild to lethal. Mortality varies from low ( <2%) in mild cases to high (20%-70%) in the case of infected pancreatic necrosis. Surgical management has not been investigated in well-designed trials. Based on literature review and retrospective results from our institution, recent insights are summarized and recommendations concerning surgical treatment of AP are given. METHODS: Data of patients who underwent necrosectomy for AP in our hospital in the period 1988-2001 were reviewed. Surgical treatment strategy was divided into open abdomen strategy (OAS) and primary closure with continuous postoperative lavage (CPL). An extensive database literature search was...
Add to ORKG