Department of Anaesthesiology, VU University Medical Center/VUmc Cancer Center Amsterdam, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands.
Best Pract Res Clin Anaesthesiol. 2013 Dec;27(4):481-92. doi: 10.1016/j.bpa.2013.09.003. Epub 2013 Oct 9.
Cancer is expected to be the leading cause of death around the world. New cancer therapies have improved survival but they can also lead to complications and toxicity. In this article, the effects of modern anti-cancer therapies are reviewed. The perioperative effects of chemotherapy, radiotherapy and experimental therapies in relation to anaesthesia are discussed. Common and rare complications are summarised as is advice for optimal treatment of the cancer patient in the perioperative period.
癌症预计将成为全球主要死因。新的癌症疗法提高了生存率,但也可能导致并发症和毒性。本文综述了现代抗癌疗法的影响。讨论了围手术期化疗、放疗和实验治疗与麻醉的关系。总结了常见和罕见的并发症,并就围手术期癌症患者的最佳治疗提供了建议。