Perspectives in anaesthesia for cancer surgery

P. Forget, M. De Kock

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background
It is a fact that inflammatory scores are important prognostic factors in cancer surgery. Many data have been published last year showing that inflammation is a causative event in many cancers and a concomitant event in all malignant tumours.

Monitoring of the inflammation
What is new is that we can assess inflammatory status during the preoperative period of our cancer patients with simple and widely available parameters, such as the neutrophil/lymphocyte ratio. This kind of biomarkers will be helpful, for the clinicians, to stratify the patients and, for the researcher, to incorporate it in clinical trials.

Rationale for trials after database analyses
Promising clinical trials, focusing on perioperative inflammation, are ongoing. Rationale for these trials came from database analyses. This kind of analyses must be extended to follow the long-term effects of our interventions.
Non-steroidal anti-inflammatory drugs
We have shown a correlation between non-steroidal anti-inflammatory drugs, especially ketorolac, and improved outcome (metastasis-free survival and/or overall survival) in breast and lung cancer patients.

Conclusion
Focusing on a high-risk group with preoperative inflammation could lead to a clinical trial to test the effect of ketorolac on cancer outcome.
Original languageEnglish
Pages (from-to)353-359
Number of pages7
JournalInternational Journal of Surgery
Volume140
Early online date28 Sep 2013
DOIs
Publication statusPublished - 2014

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