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Cancers (Basel). 2019 Apr 28;11(5). doi: 10.3390/cancers11050592.

How Anesthetic, Analgesic and Other Non-Surgical Techniques During Cancer Surgery Might Affect Postoperative Oncologic Outcomes: A Summary of Current State of Evidence.

Cancers

Patrice Forget, Jose A Aguirre, Ivanka Bencic, Alain Borgeat, Allessandro Cama, Claire Condron, Christina Eintrei, Pilar Eroles, Anil Gupta, Tim G Hales, Daniela Ionescu, Mark Johnson, Pawel Kabata, Iva Kirac, Daqing Ma, Zhirajr Mokini, Jose Luis Guerrero Orriach, Michael Retsky, Sergio Sandrucci, Wiebke Siekmann, Ljilja Štefančić, Gina Votta-Vellis, Cara Connolly, Donal Buggy

Affiliations

  1. Anesthesiology and Perioperative Medicine, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium. [email protected].
  2. Anesthesiology, Balgrist University Hospital Zurich, 8091 Zurich, Switzerland. [email protected].
  3. University Hospital for Tumors, Sestre Milosrdnice University Hospital Center, Zagreb 10000, Croatia. [email protected].
  4. Anesthesiology, Balgrist University Hospital Zurich, 8091 Zurich, Switzerland. [email protected].
  5. Department of Pharmacy, Unit of General Pathology, Center on Aging Sciences and Translational Medicine (CeSI-MeT), "G. d'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy. [email protected].
  6. Department of Surgery, Royal College of Surgeons in Ireland, Beaumont Hospital, 9 Dublin, Ireland. [email protected].
  7. Department of Anesthesiology and Intensive Care, University of Linköping, 581 83 Linköping, Sweden. [email protected].
  8. INCLIVA Biomedical Research Institute, 46010 Valencia, Spain. [email protected].
  9. Biomedical Research, Network in Breast Cancer (CIBERONC), Instituto de Salud Carlos III, 28029 Madrid, Spain. [email protected].
  10. Physiology and Pharmacology, Karolinska Institutet, Perioperative Medicine and Intensive Care, Karolinska Hospital, 171 76 Stockholm, Sweden. [email protected].
  11. Division of Systems Medicine, School of Medicine, University of Dundee, Dundee DD1 9SY, UK. [email protected].
  12. Head Department of Anesthesia and Intensive Care, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania, Outcome Research Consortium, Cleveland, OH 44195, USA. [email protected].
  13. Department of Anesthesia, Fiona Stanley Hospital, Perth, Western Australia. University College Dublin School of Medicine and Medical Science, 4 Dublin, Ireland. [email protected].
  14. Department of Surgical Oncology, Medical University of Gda?sk, 80-210 Gda?sk, Poland. [email protected].
  15. Surgical Oncology, University Hospital for Tumors, Sestre Milosrdnice University Hospital Center, Zagreb 10000, Croatia. [email protected].
  16. Anesthetics, Pain Medicine & Intensive Care, Department of Surgery and Cancer, Imperial College London, Chelsea & Westminster Hospital, London SW10 9NH, UK. [email protected].
  17. San Gerardo University Hospital, Monza, Italy. Clinique Saint Francois, 36000 Chateauroux, France. [email protected].
  18. Institute of Biomedical Research in Malaga [IBIMA], Department of Cardio-Anaesthesiology, Virgen de la Victoria University Hospital, 2010 Malaga, Spain. [email protected].
  19. Department of Pharmacology and Pediatrics, School of Medicine, University of Malaga, 29071 Malaga, Spain. [email protected].
  20. Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02115, USA. [email protected].
  21. Visceral Sarcoma Unit, CDSS-University of Turin, 10124 Turin, Italy. [email protected].
  22. Department of Anesthesiology and Intensive Care, Örebro University, 702 81 Örebro, Sweden. [email protected].
  23. Intensive Care Unit, University Hospital for Tumors, Sestre Milosrdnice University Hospital Center, Zagreb 10000, Croatia. [email protected].
  24. Departments of Anesthesiology and Surgery, College of Medicine, University of Illinois at Chicago, Chicago, IL 60607, USA. [email protected].
  25. Mater Misericordiae University Hospital, Eccles st., D07 R2WY Dublin, Ireland. [email protected].
  26. Mater University Hospital, School of Medicine, University College Dublin, 4 Dublin, Ireland. [email protected].
  27. Anaesthesiology & Perioperative Medicine, Mater University Hospital, School of Medicine, University College Dublin, Ireland and Outcomes Research Consortium, Cleveland Clinic, OH 44195, USA. [email protected].

PMID: 31035321 PMCID: PMC6563034 DOI: 10.3390/cancers11050592

Abstract

The question of whether anesthetic, analgesic or other perioperative intervention during cancer resection surgery might influence long-term oncologic outcomes has generated much attention over the past 13 years. A wealth of experimental and observational clinical data have been published, but the results of prospective, randomized clinical trials are awaited. The European Union supports a pan-European network of researchers, clinicians and industry partners engaged in this question (COST Action 15204: Euro-Periscope). In this narrative review, members of the Euro-Periscope network briefly summarize the current state of evidence pertaining to the potential effects of the most commonly deployed anesthetic and analgesic techniques and other non-surgical interventions during cancer resection surgery on tumor recurrence or metastasis.

Keywords: analgesia; anesthesia; cancer

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