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Perioperative Immunosuppressive Factors during Cancer Surgery : An Updated Review

Bezu, Lucillia (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Gustave Roussy, Dept Anesthesie Chirurg & Intervent, F-94805 Villejuif, France.;Gustave Roussy, U1138 Metab Canc & Immun, F-94805 Villejuif, France.;Stanford Univ, Sch Med, Dept Anesthesiol Perioperat & Pain Med, Stanford, CA 94305 USA.
Akcal Öksüz, Dilara (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Marienhaus Klinikum Hetzelstift, Clin Anesthesiol Intens Care Emergency Med Pain Th, D-67434 Neustadt, Germany.;ESAIC Mentorship Program, BE-1000 Brussels, Belgium.
Bell, Max (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Karolinska Univ Hosp, Dept Perioperat Med & Intens Care PMI, S-17176 Stockholm, Sweden.;Karolinska Inst, Dept Physiol & Pharmacol, S-17176 Stockholm, Sweden.
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Buggy, Donal (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Mater Misericordiae Univ Hosp, Div Anaesthesiol, Dublin D07 WKW8, Ireland.;Univ Coll, Sch Med, Dublin D04 V1W8, Ireland.
Diaz-Cambronero, Oscar (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Hosp Univ & Politecn La Fe, Dept Anesthesiol, Valencia 46026, Spain.;Hlth Res Inst Hosp La Fe, Perioperat Med Res, Valencia 46026, Spain.;Univ Valencia, Fac Med, Dept Surg, Valencia 46010, Spain.
Enlund, Mats (författare)
Uppsala universitet,Centrum för klinisk forskning, Västerås,ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium; Vastmanland Hosp, Dept Anaesthesiol & Intens Care, SE-73130 Västerås, Sweden
Forget, Patrice (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Univ Aberdeen, Inst Appl Hlth Sci, Aberdeen Ctr Arthrit & Musculoskeletal Hlth, Sch Med Med Sci & Nutr,Epidemiol Grp, Aberdeen AB25 2ZN, Scotland.;Univ Aberdeen, Dept Anaesthesia, NHS Grampian, Aberdeen AB25 2ZN, Scotland.;European Soc Anaesthesiol & Intens Care, Pain & Opioids Surg PANDOS ESA Res Grp, B-1000 Brussels, Belgium.;Montpellier Univ, Nimes Univ Hosp, Anesthesia Crit Care Emergency & Pain Med Div, IMAGINE,UR UM 103, F-30900 Nimes, France.
Gupta, Anil (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Karolinska Inst, Dept Physiol & Pharmacol, S-17176 Stockholm, Sweden.
Hollmann, Markus W. (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Amsterdam UMC, Dept Anesthesiol, NL-1100 DD Amsterdam, Netherlands.
Ionescu, Daniela (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Univ Med & Pharm Iuliu Hatieganu, Dept Anesthesia & Intens Care, Cluj Napoca 400012, Romania.;Outcome Res Consortium, Cleveland, OH 44195 USA.
Kirac, Iva (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Univ Hosp Tumors, Sestre Milosrdnice Univ Hosp Ctr, Genet Counseling Unit, Zagreb 10000, Croatia.
Ma, Daqing (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Imperial Coll London, Dept Surg & Canc, Fac Med, Div Anaesthet Pain Med & Intens Care, London SW10 9NH, England.;Zhejiang Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth, Dept Anesthesiol,Perioperat & Syst Med Lab,Sch Med, Hangzhou 310052, Peoples R China.
Mokini, Zhirajr (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;ESAIC Mentorship Program, BE-1000 Brussels, Belgium.;Clin Pays Seine, F-77590 Blois Le Roi, France.
Piegeler, Tobias (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Univ Leipzig, Med Ctr, Dept Anesthesiol & Intens Care, D-04103 Leipzig, Germany.
Pranzitelli, Giuseppe (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;San Timoteo Hosp, Dept Anesthesiol & Intens Care, I-86039 Termoli, Italy.
Smith, Laura (författare)
ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Univ Aberdeen, Dept Anaesthesia, NHS Grampian, Aberdeen AB25 2ZN, Scotland.;Univ Aberdeen, Sch Med Med Sci & Nutr, Aberdeen AB25 2ZN, Scotland.
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ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium;Gustave Roussy, Dept Anesthesie Chirurg & Intervent, F-94805 Villejuif, France.;Gustave Roussy, U1138 Metab Canc & Immun, F-94805 Villejuif, France.;Stanford Univ, Sch Med, Dept Anesthesiol Perioperat & Pain Med, Stanford, CA 94305 USA. ESA IC Oncoanaesthesiol Res Grp, EuroPeriscope, B-1000 Brussels, Belgium.;Marienhaus Klinikum Hetzelstift, Clin Anesthesiol Intens Care Emergency Med Pain Th, D-67434 Neustadt, Germany.;ESAIC Mentorship Program, BE-1000 Brussels, Belgium. (creator_code:org_t)
MDPI, 2024
2024
Engelska.
Ingår i: Cancers. - : MDPI. - 2072-6694. ; 16:13
Relaterad länk:
https://doi.org/10.3...
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https://uu.diva-port... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.3...
http://kipublication...
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  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
Stäng  
  • Surgical excision of the primary tumor represents the most frequent and curative procedure for solid malignancies. Compelling evidence suggests that, despite its beneficial effects, surgery may impair immunosurveillance by triggering an immunosuppressive inflammatory stress response and favor recurrence by stimulating minimal residual disease. In addition, many factors interfere with the immune effectors before and after cancer procedures, such as malnutrition, anemia, or subsequent transfusion. Thus, the perioperative period plays a key role in determining oncological outcomes and represents a short phase to circumvent anesthetic and surgical deleterious factors by supporting the immune system through the use of synergistic pharmacological and non-pharmacological approaches. In line with this, accumulating studies indicate that anesthetic agents could drive both protumor or antitumor signaling pathways during or after cancer surgery. While preclinical investigations focusing on anesthetics’ impact on the behavior of cancer cells are quite convincing, limited clinical trials studying the consequences on survival and recurrences remain inconclusive. Herein, we highlight the main factors occurring during the perioperative period of cancer surgery and their potential impact on immunomodulation and cancer progression. We also discuss patient management prior to and during surgery, taking into consideration the latest advances in the literature.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Nyckelord

anesthesia
cancer
immune factors
surgery

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  • Cancers (Sök värdpublikationen i LIBRIS)

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