Colorectal Cancer
Conditions
Brief summary
Systemic inflammation caused by surgery may aggravate immunosuppression in immunocompromised cancer patients. The natural killer (NK) cell is a critical part of anti-tumor immunity. ketamine, a N-methyl-D-asparate receptor antangonist, has anti-inflammatory activity and opioid-sparing effect. This study investigate the effect of intraopertaive ketamine administration on immune function in patients undergoing laparoscopic colorectal cancer resection.
Interventions
Ketamine is administered intravenously with a loading dose of 0.25 mg/kg at 5 minutes before surgery, followed by an infusion rate of 0.05 mg/kg/h to the end of surgery.
0.9% saline solution
Sponsors
Study design
Eligibility
Inclusion criteria
* patient between 20 and 80 of age with ASA physical status Ⅰ-Ⅲ * patient scheduled for laparoscopic colorectal cancer resection
Exclusion criteria
* ASA physical status Ⅳ * severe hepatorenal disease * heart failure * infection * increased intracranial pressure, seizure * preoperative chemotherapy * immune or endocrine disease * metastasis to other organ * problem with communication * pregnancy * body mass index \> 35 kg/m2
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| natural killer cell cytotoxicity | Baseline | Natural killer cell cytotoxicity is measured with NK Vue Kit™(ATGen, Gyeonggi-do, Korea). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| proinflammatory cytokine | Baseline | Inflammtory response is assesssed by measuring levels of proinflammtory cytokines. |
| recurrence | 1 year after surgery | Cancer recurrence is evaluated 1 year after surgery. |
| metastasis | 1 year after surgery | Cancer metastasis is evaluated 1 year after surgery. |
Countries
South Korea