Anesthesia Options and the Recurrence of Cancer: What We Know so Far?
Juan Pablo CataCarlos Eduardo Guerra-LondonoGerman SotoMaria F RamirezPublished in: Local and regional anesthesia (2020)
Surgery is a critical period in the survival of patients with cancer. While resective surgery of primary tumors has shown to prolong the life of these patients, it can also promote mechanisms associated with metastatic progression. During surgery, patients require general and sometimes local anesthetics that also modulate mechanisms that can favor or reduce metastasis. In this narrative review, we summarized the evidence about the impact of local, regional and general anesthesia on metastatic mechanisms and the survival of patients. The available evidence suggests that cancer recurrence is not significantly impacted by neither regional anesthesia nor volatile or total intravenous anesthesia.
Keyphrases
- end stage renal disease
- ejection fraction
- newly diagnosed
- minimally invasive
- chronic kidney disease
- squamous cell carcinoma
- small cell lung cancer
- prognostic factors
- peritoneal dialysis
- coronary artery bypass
- papillary thyroid
- patient reported outcomes
- high dose
- high resolution
- atrial fibrillation
- surgical site infection
- liquid chromatography
- childhood cancer