Preview

Siberian journal of oncology

Advanced search

ASSESSMENT OF THE EFFICTIVENESS OF EPIDURAL ANESTHESIA IN TREATMENT OF RECTAL CANCER

Abstract

The comparative analysis of the efficacy of anesthetic management in 53 patients with operable rectal cancer was carried out. In the study group patients (n=29), preemptive thoracic epidural analgesia was used. In the control group, (n=24), anesthesia was induced with sevofluorane and fentanyl. Preemptive thoracic epidural analgesia provided a reliable blockade of nociceptors and neural pathways, normalized stress response and decreased the severity of the systemic inflammatory response by stimulating the production of antiinflammatory cytokines.

About the Authors

S. V. Avdeev
Tomsk Cancer Research Institute, Tomsk
Russian Federation

Avdeev Sergej Veniaminovich - MD, DSc., Head of the Department of Anesthesiology and Resuscitation.
E-mail: serg_avdeev@mail.ru



S. G. Afanasyev
Tomsk Cancer Research Institute, Tomsk
Russian Federation

Afanasjev Sergey Gennadjevich - MD, DSc., Leading researcher, Thoracal and Abdominal Department.
E-mail: AfanasievSG@oncology.tomsk.ru



S. I. Savosina
Tomsk Cancer Research Institute, Tomsk; Kemerovo Regional Cancer Center, Kemerovo
Russian Federation
Savosina  Svetlana Igorevna


V. V. Faltin
Tomsk Cancer Research Institute, Tomsk
Russian Federation
Faltin Vladimir Vladimirovich - Junior Researcher, Department of Anesthesiology and Resuscitation


L. V. Gerdt
Tomsk Cancer Research Institute, Tomsk
Russian Federation

Gerdt Ljubov Viktorovna - MD., PhD., physician assistant, Laboratory of Molecular Oncology and Immunology.
E-mail: immun@ oncology.tomsk.ru



M. N. Stakheeva
Tomsk Cancer Research Institute, Tomsk
Russian Federation

Stakheeva Marina Nikolaevna - MD, DSc., Senior Researcher, Laboratory of Molecular Oncology and Immunology.
E-mail: StakheyevaM@oncology.tomsk.ru



S. A. Tuzikov
Tomsk Cancer Research Institute, Tomsk; Siberian State Medical University, Tomsk
Russian Federation

Tuzikov Sergey Aleksandrovich - MD, DSc., Professor, Head of The Thoracal and Abdominal Department
E-mail: TuzikovSA@oncology.tomsk.ru



References

1. Avdeev S.V., Afanasyev S.G., Avgustinovich A.V., Pak A.V., Volkov M.Yu., Baikov A.N. Optimization of the maitenance perioperative period radical surgical carcinoma of stomach // Bjulleten’ sibirskoj mediciny. 2012. Vol. 11 (1). P. 135–140. [in Russian]

2. Afanasyev S.G., Startseva Zh.A., Tarasova A.S., Usova A.V., Samtsov E.N. Results of combined modality treatment including preoperative prolonged chemoradiotherapy for rectal cancer // Sibirskij onkologicheskij zhurnal. 2012. № 6. P. 5–12. [in Russian] 3

3. . Gorobec E.S. Selected lections on regional anesthesia and postopera- tive pain management. Petrozavodsk, 2009. P. 147–158. [in Russian]

4. Garyaev R.V. Safety and efficacy of prolonged epidural analgesia after oncologic colorectal surgery // Onkologicheskaja koloproktologija. 2012. № 2. P. 40–45. [in Russian]

5. Gritsan A. I., Begeldinov R.T., Rostovtsev S.I. Comparative analysis of methods anesthesia during surgical interventions relatively colorectal cancer // Sibirskoe medicinskoe obozrenie. 2012. № 5. P. 56–61. [in Russian]

6. Demyanov A.V., Kotov A.Yu., Simbirtsev A.S. Diagnostic value of cytokine studies in clinical practice // Citokiny i vospalenie. 2003. Vol. 2 (3). P. 20–35. [in Russian]

7. Ljuboshevskij P.A., Lileev D.V., Zabusov A.V. Influence of anesthesia and analgesia on metabolic and inflammatory changes in postoperative period // Jefferentnaja terapija. 2011. Vol. 17 (3). P. 86–88. [in Russian]

8. Polovinkin V.V., Porkhanov V.A., Zavrazhnov A.A., Volkov A.V., Khalafian A.A. Risk factors anastomotic leak after surgery for rectal cancer // Kubanskij nauchnyj medicinskij vestnik. 2013. № 7. P. 106–112. [in Russian]

9. Timerbaev V.H., Smirnova O.V., Genov P.G., Olejnikova O.N., Rebrova O.Yu. Assessment of pain relief in patients receiving different variants of multimodal analgesia after major gynecological surgery // Anesteziologija i reanimatologija. 2014. № 2. P. 32–37. [in Russian]

10. Chissov V.I., Frank G.A., Sidorov D.V., Mainovskaya O.A., Troitsky A.A., Lozhkin M.V., Grishin N.A., Petrov L.O. Results of surgical and combination treatment for rectal cancer // Rossijskij onkologicheskij zhurnal. 2012. № 3. P. 4–7. [in Russian]

11. Cai X.H., Wang S.P., Chen X.T., Peng S.L., Cao M.H., Ye X.J., Yang Y.Z. Comparison of three analgesic methods for postoperative pain relief and their effects on plasma interleukin-6 concentration following radical surgery for gastric carcinoma // Nan Fang Yi Ke Da Xue Xue Bao. 2007. Vol. 27 (3). P. 387–389.

12. Halabi W.J., Jafari M.D., Nguyen V.Q., Carmichael J.C., Mills S., Stamos M.J., Pigazzi A. A nationwide Analysis of the Use and Outcomes of Epidural Analgesia in Open Colorectal Surgery // J. Gastrointest. Surg. 2013. Vol. 17 (6). P. 1130–1137. doi: 10.1007/s11605-013-2195-4.

13. Holzheimer R.G., Steinmetz W. Local and systemic concentrations of proand antinflammatoriry cytokines in human wounds // Eur. J. Med. Res. 2000. Vol. 5. P. 347–355.

14. Kvarnström A., Swartling T., Kurlberg G., Bengtson J.P., Bengtsson A. Pro-inflammatory cytokine release in rectal surgery: comparison between laparoscopic and open surgical techniques // Arch. Immunol. Ther. Exp. (Warsz). 2013. Vol. 61 (5). P. 407–411. doi: 10.1007/s00005-013-0239-9.

15. Kvolik S., Glavas-Obrovac L., Sakic K., Margaretic D., Karner I. Anaesthetic implications of anticancer chemotherapy // Eur. J. Anaesthe- siol. 2003. Vol. 20 (11). P. 859–871.

16. Nau C. From preemptive to preventive analgesia for // Anaesthe- sist. 2013. Vol. 62 (10). P. 787–788. doi: 10.1007/s00101-013-2250-2.

17. Penprase B., Brunetto E., Dahmani E., Forthoffer J.J., Kapoor S. The efficacy of preemptive analgesia for postoperative pain control: a sys- tematic review of the literature // AORN J. 2015. Vol. 101 (1). P. 94–105. doi: 10.1016/j.aorn.2014.01.030.

18. Rosero E.B., Joshi G.P. Preemptive, preventive, multimodal anal- gesia: what do they really mean? // Plast. Reconstr. Surg. 2014. Vol. 134 (4 Suppl. 2). 85S–93S. doi: 10.1097/PRS.0000000000000671.

19. Sachs D., Cunha F.Q., Poole S., Ferreira S.H. Tumour necrosis factor-alpha, interleukin-1beta and interleukin-8 induce persistent mechani- cal nociceptor hypersensitivity // Pain. 2002. Vol. 96 (1–2). P. 89–97.

20. Tada N., Tsuno N.H., Kawai K., Murono K., Nirei T., Ishihara S., Sunami E., Kitayama J., Watanabe T. Changes in the plasma levels of cy- tokines/chemokines for predicting the response to chemoradiation therapy in rectal cancer patients // Oncol. Rep. 2014. Vol. 31 (1). P. 463–471. doi: 10.3892/or.2013.2857.

21. Watkins L.R., Maier S.F., Goehler L.E. Immune activation: the role of pro cytokines in inflammation, illness responses and pathological pain states // Pain. 1995. Vol. 63 (3). P. 289–302.


Review

For citations:


Avdeev S.V., Afanasyev S.G., Savosina S.I., Faltin V.V., Gerdt L.V., Stakheeva M.N., Tuzikov S.A. ASSESSMENT OF THE EFFICTIVENESS OF EPIDURAL ANESTHESIA IN TREATMENT OF RECTAL CANCER. Siberian journal of oncology. 2015;1(2):39-45. (In Russ.)

Views: 1204


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1814-4861 (Print)
ISSN 2312-3168 (Online)