Abstract
Summary. The aim. of the study: to improve the results of surgical treatment of patients with erosive bleeding in pancreatic necrosis by using active surgical tactics with ligation of erosive arteries and semi-open methods of drainage.
 The results of surgical treatment of 85 patients with erosive bleeding in pancreatic necrosis are presented. In 22 cases, erosive bleeding was recurrent, in 7 cases more than twice. There were 21 women, 64 men. The largest share of erosive bleeding was idiopathic pancreatic necrosis (35.3 %). Alcoholic and postoperative pancreatic necrosis accounted for 18.8 % and 17.6 %, respectively. A comparative analysis of surgical techniques in the treatment of erosive bleeding as a complication of pancreatic necrosis was conducted. The best results were noted in semi-open methods of drainage, where preference was given to operations aimed at identifying the source of bleeding and its filling.
 Active surgical tactics with ligation of erosive arteries with the use of semi-open drainage methods in comparison with traditional tamponade interventions, allows to reduce mortality in erosive bleeding from 77 to 50 %.
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