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Randomized Controlled Trial
. 2024 Jan 3;111(1):znad357.
doi: 10.1093/bjs/znad357.

Effect of volatile versus total intravenous anaesthesia on circulating tumour cells after pancreatic adenocarcinoma resection: multicentre randomized clinical trial

Affiliations
Randomized Controlled Trial

Effect of volatile versus total intravenous anaesthesia on circulating tumour cells after pancreatic adenocarcinoma resection: multicentre randomized clinical trial

Martin Schläpfer et al. Br J Surg. .
No abstract available

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Conflict of interest statement

Conflict of interest B.B.S. has a patent (04/10/14–20140100278): Injectable formulation for treatment and protection of patients having an inflammatory reaction or an ischemia–reperfusion event; M. Urner, L. K. Limbach, I. K. Herrmann, W. J. Stark, B. Beck-Schimmer, applied as Patent Cooperation Treaty (internationally), July 2009, as well as a patent application on bioconjugates of antibodies and functionalized magnetic nanoparticles. B.B.S. and M.S. received grant money from Sedana Medical (Danderyd, Sweden) as collaborators in a large multicentre study not related to this topic. M.S. and B.B.S. received grant money from Roche Diagnostics International (Rotkreuz, Switzerland) for a clinical trial not related to this topic. The authors declare no other conflict of interest.

Figures

Fig. 1
Fig. 1
Analysis of maximum circulating tumour cell levels a Distribution of maximum circulating tumour cell (CTC) levels in the two treatment groups; bold lines represent median values. b Results of negative binomial regression models considering the confounders group allocation, baseline CTC more than 1 per 7.5 ml blood, microvascular invasion, lymph node (N) status, and resection (R1/R2). Incidence risk ratios are shown with 95 per cent confidence intervals.
Fig. 2
Fig. 2
Analysis of recurrence and survival a Kaplan–Meier plot showing probability of non-recurrence in desflurance and propofol groups (P = 0.589, log rank test). b Cox regression model for time to recurrence, including the confounders group allocation, microvascular invasion, lymph node (N) status, and resection (R1/R2). c Kaplan–Meier plot showing probability of survival in desflurance and propofol groups (P = 0.806, log rank test). d Cox regression model for time to death, considering the confounding factors treatment, microvascular invasion, and resection (R1/R2). HRs are shown with 95 per cent confidence intervals.

References

    1. Lai HC, Lee MS, Lin KT, Huang YH, Chen JY, Lin YTet al. Propofol-based total intravenous anesthesia is associated with better survival than desflurane anesthesia in robot-assisted radical prostatectomy. PLoS One 2020;15:e0230290 - PMC - PubMed
    1. Jun IJ, Jo JY, Kim JI, Chin JH, Kim WJ, Kim HRet al. Impact of anesthetic agents on overall and recurrence-free survival in patients undergoing esophageal cancer surgery: a retrospective observational study. Sci Rep 2017;7:14020. - PMC - PubMed
    1. Zheng X, Wang Y, Dong L, Zhao S, Wang L, Chen Het al. Effects of propofol-based total intravenous anesthesia on gastric cancer: a retrospective study. Onco Targets Ther 2018;11:1141–1148 - PMC - PubMed
    1. Wu ZF, Lee MS, Wong CS, Lu CH, Huang YS, Lin KTet al. Propofol-based total intravenous anesthesia is associated with better survival than desflurane anesthesia in colon cancer surgery. Anesthesiology 2018;129:932–941 - PubMed
    1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin 2018;68:7–30 - PubMed

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