Nederlandse Vereniging voor Heelkunde en the Association of Surgeons of Great Britain and Ireland

Vergadering gehouden op 10 december 1988 te Amsterdam

The treatment of patients with acute necrotising pancreatitis is primarily conservative. Surgical therapy is only indicated if pancreatitis is caused by bileduct stones or in those patients who deteriorate in spite of adequate conservative treatment or if complications as haemorrhage and abscess formation occur.

From 1971 to 1985 patients with acute necrotising pancreatitis were treated with the Lawson procedure: i.e. debridement of the peripancreatic area, sumpdrainage of the lesser sac, cholecystostomy, gastrostomy and jejunostomy. It was found that the lesser sac was unsufficiently drained by this method causing residual abscesses in 26…