Abstract
[Aim] Recently, although the frequency of surgery in patients with severe acute pancreatitis (SAP) is quite rare, operative intervention is still necessary under specific conditions. In this study, we evaluated the outcomes of SAP patients who were treated with surgery. [Method] Subjects were 7 patients diagnosed with SAP and treated by laparotomy at out hospital from January 2008 to December 2010. [Results] The median age of surgery group was 59 years, gender male (n=6)/female (n=1), etiology alcohol (n=3), idiopathic (n=2), gallstone (n=1), traumatic (n=1). Five of the 7 patients were treated with arterial infusion therapy before surgery. The interval to surgery was more than 100 days in 5 patients and 5 patients unberwent a distal pancreatectomy. One patient died with disseminated intravascular coagulation after surgery, but 6 patients were discharged without any severe events. [Conclusion] Nowadays, surgical intervention for SAP patients has been rare, but surgery could still be necessary for some patients, especially for whom conservative therapy has failed.
