HE RESULTS OF PERCUTANEOUS DRAINING OF ACUTE NECROTIC GATHERING IN ACUTE PANCREATONECROSISO

Abstract. The aim of the study was to evaluate the possibility of using the percutaneous catheter drainage (PCD) method of acute necrotic collections in patients with infected pancreatic necrosis in the general surgical department of a city clinical hospital. Materials and methods. From 2019 to 2024, 11 patients with acute necrotic pancreatitis (ANP) were treated using minimally invasive technologies at the Hospital No. 31. The study included patients with acute necrotic collections (ANC), who were diagnosed using ultrasound and CT in the third week of the disease. A total of 59 drainages were performed. Results. In 7 patients, PCD was used as the final treatment method. In 4 patients, laparoscopic necrosequestrectomy was additionally used to remove sequesters. The most frequent complication (28.8% of the drains installed) was drain obstruction. Minor bleeding from the fistula tract, stopped by conservative measures, occurred in 3 cases (5% of the number of drains installed). One patient (3%) required additional transfistular necrosequestrectomy. Another one patient (3%) required open laparotomy due to ineffective PCD. Mortality was 18% (2 patients). Conclusions. The PCD method is minimally invasive and quite effective in the treatment of acute necrotic accumulations in patients with infected pancreatic necrosis. The PCD technique is quite safe and requires equipment that is currently available in most medical institutions in Ukraine. The PCD method can be definitive in the treatment of acute necrotic accumulations in patients with infected pancreatic necrosis. In case of ineffectiveness of the PCD method, there are no difficulties in switching to other methods of surgical treatment of patients with infected pancreatic necrosis.