[Surgical treatment of purulent complications of acute pancreatitis].

The results of the treatment of 34 patients with purulent lesions of the pancreas and parapancreatic fat are presented. The surgical policy is proposed, depending on the location of purulent cavities. The policy includes evaluation of the rate of the purulent process dissemination, dissection of the necrotic and nonviable tissues and adequate drainage of the parapancreatic fat with subsequent aspiration (in 48-72 hours) and irrigation of the cavities starting from the 5-7th day. The blood vessels, located in purulent zone should be ligated. 26 of 34 patients have been successfully discharged. Postoperative enteric fistulas have developed in 3 patients.