Surgical treatment of patients with acute pancreatitis]

Since 1963 to 1973 in the clinic 1449 patients were treated for acute pancreatitis and cholecystopancreatitis. A considerable increase in the number of these patients was observed during recent 8 years, mainly on account of destructive forms. 92 patients were operated upon (6.3%), including 9 subjects with pancreatic edema, 39--with hemorrhagic pancreatitis, 36--with pancreonecrosis, 8--with purulent pancreatitis. Indications to surgical therapy are considered to be as follows: the presence of initial signs of diffuse peritonitis or prounced signs of limited peritonitis, if the conservative therapy during 8-10 hours was a failure.