An. analysis of treatment of 174 patients with acute pancreatonecrosis with use of low-invasive surgical interventions (laparoscopic and puncture-draining surgery) was realized. It is shown that the efficiency of low-invasive surgery for pancreatonecrosis depends on the spread of pathological process. The use of step-by-step approach with use of low-invasive technologies as a start method greatly improves the results of treatment of patients with pancreatonecrosis. For limited forms of pancreatonecrosis low-invasive surgery is the method of choice, and. this surgical approach plays one of the leading roles in improving of treatment outcomes in the population of patients with pancreatonecrosis.