Predictors of external pancreatic fistulas development after surgical treatment of infected pancreatonecrosis

摘要: Aim . To determine the risk factors for development of external pancreatic fistulas in outcome infected pancreatonecrosis, which do not close as a result conservative treatment. Materials and methods The results treatment were analyzed 44 patients with pancreatonecrosis. influence different after surgery pancreatonecrosis was studied, using Spearman’s correlation coefficient. Results repeated surgeries one year required by 9 % connection cysts 11.36 – fistulas. There observed positive mean value between formation fistulas, did intensive therapy localization necrosis zone region isthmus (r = 0.31, p 0.00), its depth 50 more 0.46, quantity outflow 0.55, 0.00) amylase activity > 1000 units 0.53, 0.00). Conclusions Localization isthmus, more, control drainage 150 ml, high are predictors acute destructive pancreatitis, need surgical correction.