Background: Acute pancreatitis is a common and potentially life-threatening gastrointestinal emergency. While most cases are managed conservatively, local complications such as pancreatic pseudocysts, necrosis, and abscesses may necessitate surgical intervention. Understanding the indications for surgery and postoperative outcomes is essential for optimizing management strategies.

Objective: To evaluate the clinical indications and assess the outcomes of surgical interventions performed for local complications of acute pancreatitis at a tertiary care surgical center.

Methods: This retrospective observational study was conducted at the Department of General Surgery, Major S. D. Singh Medical College, Farrukhabad, Uttar Pradesh, India from feb 2013 to Jan 2014. Patients diagnosed with acute pancreatitis who developed local complications requiring surgery were included. Data were collected regarding clinical presentation, type of complication, timing and type of surgical procedure, and postoperative outcomes.

Results: A total of 40 patients underwent surgical management for local complications. The most common indication was pancreatic pseudocyst (55 percent), followed by infected pancreatic necrosis (30 percent) and pancreatic abscess (15 percent). Cystogastrostomy was the most frequently performed procedure. Postoperative complications occurred in 25 percent of patients, with wound infection and delayed gastric emptying being the most common. Mortality was recorded in 10 percent of cases, primarily associated with infected necrosis. Most patients had favorable recovery with appropriate intervention and supportive care.