Aim: This study aims to evaluate the indication and outcome of different surgical management modalities in local complications of acute pancreatitis. Methods: A hospital-based retrospective study was conducted in the department of surgery at Government Medical College, Bettiah, Bihar, India for 12 months. A purposive sampling method was utilized to recruit the patients. Results: 450 patients were admitted to the surgery department with the diagnosis of acute pancreatitis or with complications of acute pancreatitis. Among them, 60 patients had local complications due to acute pancreatitis. All patients were managed using the step-up approach, starting with conservative management and minimally invasive intervention when warranted. Twenty-five patients required surgical intervention due to failure of endoscopic or radiological intervention or positions of lesions being inaccessible to these techniques. Out of 25 patients, 56% were females. 52% had ethanol etiology and 36% had pseudocyst pancreatic fluid collection. According to the location, 68% were at body or tail. According to Clavien-Dindo classification, 32% were in grade 4 followed by grade 1 (24%) and grade 4 (20%). Conclusion: Although various endoscopic techniques are now available to manage the pancreatic fluid collection and pancreatic necrosis, surgery remains essential in managing the disease.

Aim: This study aims to evaluate the indication and outcome of different surgical management modalities in local complications of acute pancreatitis. Methods: A hospital-based retrospective study was conducted in the department of surgery at Government Medical College, Bettiah, Bihar, India for 12 months. A purposive sampling method was utilized to recruit the patients. Results: 450 patients were admitted to the surgery department with the diagnosis of acute pancreatitis or with complications of acute pancreatitis. Among them, 60 patients had local complications due to acute pancreatitis. All patients were managed using the step-up approach, starting with conservative management and minimally invasive intervention when warranted. Twenty-five patients required surgical intervention due to failure of endoscopic or radiological intervention or positions of lesions being inaccessible to these techniques. Out of 25 patients, 56% were females. 52% had ethanol etiology and 36% had pseudocyst pancreatic fluid collection. According to the location, 68% were at body or tail. According to Clavien-Dindo classification, 32% were in grade 4 followed by grade 1 (24%) and grade 4 (20%). Conclusion: Although various endoscopic techniques are now available to manage the pancreatic fluid collection and pancreatic necrosis, surgery remains essential in managing the disease.