A.M. ZAINUTDINOV, I.S. MALKOV

Kazan State Medical Academy, 36 Butlerov Str., Kazan, Russian Federation, 420012

Zainutdinov A.M. ― Cand. Med. Sc., Associate Professor of the Surgery Department, Head of Surgery Department №2, tel. +7-917-268-25-34, e-mail: [email protected]

Malkov I.S. ― D. Med. Sc., Professor, Head of the Surgery Department, tel. +7-965-594-40-07, e-mail: [email protected]

Analysis of the results of antibiotic therapy in 58 patients with acute pancreatitis was performed. All patients with suppurative complications underwent operations. Omental and retroperitoneal abscesses were drained with low-invasive techniques (puncture drainage under US control), and the widely spread forms of infection were operated with traditional «open» techniques ― laparotomy, marsupialization, lumbotomy. The main group of patients consisted of 30 patients admitted to the clinic with aseptic pancreatic necrosis. In this group the patients received interstitial electrophoresis during 8±4 days. The comparison group consisted of 28 patients who received traditional conservative therapy. In the main group the clinical laboratory indication normalized by the 10^th day, the suppurative complication reduced by 13%, and lethality reduced by 10% (15% in the comparison group).

Key words: acute pancreatitis, antibacterial therapy, laparoscopy.

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