Physiological Approach to the Prognosis of the Results of Surgical Treatment in Patients with Stomach Cancer

Nonspecific adaptation responses in patients with stomach cancer were estimated prior to surgical treatment according to cardiac rhythm variability (CRV). 101 patients were included in the group to be studied. CRV was evaluated along with the common clinical examination. The tendency to CRV decrease was revealed, the predominance of symptomatic tone being noted in most patients. Postoperative complications reliably developed more often in patients with the decreased CRV (p<0.05). A mathematic model was developed on the base of logit-regression for individual prognosis of postoperative complications which included CRV values, as arguments, along with the clinical parameters. A complicated postoperative course was reliably predicted in 78.9% cases. The expected absence of complications coincided with the actual ones in 93.9% cases.