Is There Any Difference of Anesthesia Methods or Anesthetic Agents
Prefererred for Gastric Cancer Surgery on the Survival of Patients: A
Narrative Review
Abstract
Introduction:Gasrtric cancer is a major global public health problem. It
is the fourth most common cancer and the second cause of cancer-related
deaths worldwire. Despite advances in the field of medical and radiation
oncology, surgical resection is crucial intervention and remains the
mainstay the gold standard treatment. Recently, the effects of
anesthesia method(s) and/or anesthetic agent(s) on survival for
different types of cancers gained attention. So we want to summarize the
evidences of anesthesia methods and/or anesthetic agents prefererred for
gastric cancer surgery on the survival. Material-method: Web of Science
software was used for the search and the analysis. To analyse scientific
productivity of all scientific papers published about survival of
patients due to the anesthesia methods or anesthetic agents on gastric
cancer in Science Citation Index Expanded (SCI-E) from 1980 to December
5 th, 2020; the date of the search, were searched by using the terms of
“gastric cancer”, “survival” and “anesthesia” in the topic search
section of the software. Results: Overall fifteeen papers were related
to our topic. Four of these studies compared TIVA with general
anesthesia; five of these compared general anesthesia with general
anesthesia combined with epidural anesthesia/analgesia for gastric
cancer, three of these studies investigated effect of anesthetic agents
for gastric cells in in vitro conditions. Other publications were review
on this topic. Conclusion: The important role of anesthesia in treatment
of gastric cancer patients, is still controversial. Further prospective
randomized studies are needed.