Open necrosectomy in acute pancreatitis-obsolete or still useful?

ABSTRACT:

Background

Multiple organ failure and early surgery are associated with high morbimortality after open necrosectomy. Data are mostly derived from historical cohorts with early necrosectomy bereft of step-up treatment algorithm implementation. Thus, mostly circumstantial evidence suggests a better clinical course following mini-invasive surgical and endoscopic necrosectomy. We studied the results of open necrosectomy in a contemporary cohort of patients with complicated pancreatic necrosis treated at a tertiary center.

Methods

A retrospective cohort study from a university teaching hospital. Results of 109 consecutive patients treated with open necrosectomy during a 12-year period are reported.

Results

The overall 90-day mortality rate was 22.9%. The 90-day mortality r

SUBMITTER: Husu HL 

PROVIDER: S-EPMC7079510 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature