MODERN APPROACHES TO SURGICAL TREATMENT OF DESTRUCTIVE PANCREATITIS

Abstract

Pancreonecrosis is diagnosed in about 20% of patients with acute pancreatitis (AP), while 30 – 70% of
them develop pancreonecrosis infection, which leads to an increase in the mortality rate to 20 – 30%. Minimally invasive methods of surgical treatment of destructive pancreatitis are becoming widespread, among
which retroperitoneal access to the pancreatic necrosis zone is of the greatest interest, which is currently
considered as a new standard of treatment for AP. Methods of transmural and percutaneous endoscopic
necrectomy for pancreatic necrosis are being actively introduced.