Desenlaces inmunológicos de pacientes con cáncer sometidos a diferentes técnicas anéstesicas : revisión de alcance

Abstract

Cancer is one of the pathologies with the highest increase in morbidity and mortality worldwide, and surgical management is one of the fundamental treatment axes, where the anesthetic act is becoming more and more important, an impact has been raised from the immunological point of view and in tumor recurrence according to the type and anesthetic technique performed. The objective of this scope review is to provide a framework on the available knowledge around the effect of anesthetic techniques on the immune function mediated by CNK and interleukins of cancer patients sometimes surgical treatment for the management of pathology. All epidemiological designs between 2009 and 2019 of cancer patients who have performed anesthetic techniques in surgical and documented procedures will be included. According to each anesthetic technique used. 13 Articles were found which included 745 patients in different contradictory of the world. Measuring CNK count, CD4 count, CD8 and the ratio between CD4 / CD8, as well as interleukin levels in patients undergoing procedures Surgeries with general or combined anesthetic techniques. Conclusion: according to the results of the review intravenous vs inhalation general anesthetic techniques, there were no differences. It means a favor of one of the two techniques. Otherwise, it happened when comparing general anesthesia vs neuroaxial technique or peripheral block where there is a greater leukocyte count and a greater response. Surgical procedures with regional techniques.