• Br J Anaesth · Dec 2023

    Review

    Tumour excisional surgery, anaesthetic-analgesic techniques, and oncologic outcomes: a narrative review.

    • Orla Murphy, Patrice Forget, Daqing Ma, and Donal J Buggy.
    • Department of Anaesthesiology and Perioperative Medicine, Mater University Hospital, School of Medicine, University College Dublin, Dublin, Ireland.
    • Br J Anaesth. 2023 Dec 1; 131 (6): 9891001989-1001.

    AbstractCancer is a growing global burden; there were an estimated 18 million new cancer diagnoses worldwide in 2020. Excisional surgery remains one of the main treatments for solid organ tumours in cancer patients and is potentially curative. Cancer- and surgery-induced inflammatory processes can facilitate residual tumour cell survival, growth, and subsequent recurrence. However, it has been hypothesised that anaesthetic and analgesic techniques during surgery might influence the risk of cancer recurrence. This narrative review aims to provide an updated summary of recent observational studies and new randomised controlled clinical trials on whether certain specific anaesthetic and analgesic techniques or perioperative interventions during tumour resection surgery of curative intent materially affect long-term oncologic outcomes.Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.

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