Local Anesthetics and Recurrence after Cancer Surgery-What's New? A Narrative Review.

ABSTRACT: The perioperative use of regional anesthesia and local anesthetics is part of almost every anesthesiologist's daily clinical practice. Retrospective analyses and results from experimental studies pointed towards a potential beneficial effect of the local anesthetics regarding outcome-i.e., overall and/or recurrence-free survival-in patients undergoing cancer surgery. The perioperative period, where the anesthesiologist is responsible for the patients, might be crucial for the further course of the disease, as circulating tumor cells (shed from the primary tumor into the patient's bloodstream) might form new micro-metastases independent of complete tumor removal. Due to their strong anti-inflammatory properties, local anesthetics might have a certain impact on these circulating tumor cells,

SUBMITTER: Muller SD 

PROVIDER: S-EPMC7918400 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature