Article Category: Review
Publicado en línea: 21 feb 2024
Páginas: 9 - 14
Recibido: 10 sept 2023
Aceptado: 22 nov 2023
DOI: https://doi.org/10.2478/raon-2024-0012
Palabras clave
© 2024 Iztok Potocnik et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Background
Oncological patients make up a large proportion of all surgical patients. Through its influence on the patient’s inflammatory and immune system, the choice of anaesthetic technique has an indirect impact on the health of the individual patient and on public health. Both the specific and the non-specific immune system have a major influence on the recurrence of carcinomas. The pathophysiological basis for growth and metastasis after surgery is the physiological response to stress. Inflammation is the organism’s universal response to stress. Anaesthetics and adjuvants influence perioperative inflammation in different ways and have an indirect effect on tumour growth and metastasis.
Conclusions
In this review, we focus on the area of the effects of anaesthesia on tumour growth. The field is still relatively unexplored, there are only few clinical prospective studies and their results are controversial. Based on the review of new research findings we report on recommendations about anaesthetics and anaesthetic techniques that might be preferable for oncological surgical procedures.