Review Article

The Role of Open Necrosectomy in the Current Management of Acute Necrotizing Pancreatitis: A Review Article

Table 3

Outcome of different techniques for open necrosectomy.

TechniquePatients
( )
Patients with infected necrosis
(%)
Mortality
(%)
Relaparotomy
( )

Open packing
 Bradley III, 1993 [19]71100151–5/pt.
 Bosscha et al., 1998 [20]281003917 mean/pt.
 Nieuwenhuijs et al., 2003 [21]3847
 Howard et al., 2007 [22]1027512
Planned relaparotomies
 Sarr et al., 1991 [23]2375172–>5/pt.
 Tsiotos et al., 1998 [24]7279251–7/pt.
Closed packing
 Fernandez-del Castillo et al., 1998 [25]6456611 (17%)
 Rodriguez et al., 2008 [26]167681114 (11%)
Closed continuous lavage
 Beger et al., 1988 [27]9537826 (27%)
 Farkas et al., 2006 [28]1231007
 Büchler et al., 2000 [13]2927246 (22%)
 Nieuwenhuijs et al., 2003 [21]2133
 van Santvoort et al., 2010 [29]4593161–7/pt.