Abstract

One of the manifestations of purulent-septic complications in acute pancreatitis is the development of pancreatic and peripancreatic infected necrosis, while the prevalence and location of involved areas of fiber in different patients varies greatly [1]. For a long time in the literature there was an opinion that regardless of the form of acute pancreatitis, the timing of the disease, and the quality of preoperative topical diagnosis of complications, the best is the upper-middle laparotomy, and only after revision of the abdomen, extrahepatic bile ducts, omental sac, pancreas and retroperitoneal cell space can be performed drainage in areas depending on the specific situation [2]. However, with limited abscesses, the use of laparotomy threatens the spread of infection in the abdominal cavity with the development of bacterial-toxic shock and increase the mortality rate [3]. Therefore, in recent years, preference is given to mini-invasive interventions, which are mainly carried out under local anesthesia.

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