33rd Annual Meeting of the Pancreatic Society of Great Britain and Ireland. October 30–31, 2008, Derby, UK

摘要: Results: Total number of patients was 146 (m: f= 88: 58). Analysis of variance revealed a significant (p= 0.002) progressive increase in severity of illness as measured by the mean APACHE2 score [Group 1: 11.19; Group 2: 13.29; Group 3: 16.25]. Overall mortality in the 3 time periods was Group 1: 12/33 (36%); Group 2 31/90 (34%); Group 3 2/23 (8.6%), p= 0.03. Hospital stay was Group 1: 73 days; Group 2: 56 days; Group 3: 82 days, p= 0.041. Two patients in Group 3 had open surgery following open procedures at other hospitals.Conclusion: The effect of not offering open necrosectomy as primary treatment for infected necrosis has resulted in a dramatic reduction in mortality despite increased severity of disease. This has been achieved at the expense of increased hospital stay.