Abstract
New and optimized existing approaches to the diagnosis, prognosis and treatment of acute necrotic pancreatitis have been developed. Implementation of the suggested treatment strategy and therapeutic tactics enabled to improve substantially results of treatment of patients with acute pancreatitis: decrease rate of occurrence of pancreatic fistulas and erosive bleeding by 25.7 % and 31.0 % respectively, number of repeated surgical invasion by 34.0 %, frequency of postoperative complications from 31.6 % to 12.5 %, hospital stay in case of focal pancreatonecrosis by 8 days, mortality rate in patients with generalized pancreatonecrosis from 30.0 % to 14.3 %. All this is indicative of the effectiveness of the suggested therapeutic tactics and reasonability of its wide clinical implementation.
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