METHOD OF DETERMINING OPERABILITY OF PATIENTS SUFFERING OESOPHAGEAL CANCER

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, particularly to surgery, oncology, therapy, functional diagnostics, and can be used in determining the possibility of performing radical surgical treatment of patients suffering oesophageal cancer. Predictors are detected: presence of disturbed cardiac rhythm and conductance, chronic obstructive pulmonary diseases, pulmonary hypertension in echocardiography by mean-square pressure in pulmonary artery in mm Hg, left ventricle ejection fraction by Simpson in %, acute cerebrovascular accident in past history. Further, the predictors are scored. Probability of postoperative complications (K, %) is determined by the declared formula. If K is less than 12 %, the indications for the surgical intervention are determined. If K is from 12 to 75 %, the need for preoperative correction of the indices is determined. If K is more than 75 %, absence of indications for surgical intervention is stated.;EFFECT: method provides high accuracy of prediction of complications, enables objectifying boundaries of physiological feasibility of surgical exposure to oesophageal tumour by evaluating complex of most significant predictors.;1 cl, 1 tbl, 3 ex