[Differentiated surgical policy in destructive pancreatitis].

A total of 4522 patients with acute pancreatitis (AP), 1142 from them with pancreonecrosis (PN), were treated in surgical clinics of Saratov Military Medical Institute in 1990-2002. Intervention was made in 381 patients. Is shown, that the introduction of modern methods of treatment new operative receptions, change of the indications for "open" drainage operations, use of original policy-surgical classification has allowed to lower a mortality from AP from 12 to 8.25%, and postoperative lethality from 38.1 up to 19.5%. At the analysis of results of work the doubtless positive effect of application Sandostatin fixed at treatment.