Anesthesia, Cancer of Colon
Conditions
Keywords
anesthesia, propofol, cancer, inhalational anesthetics
Brief summary
This study investigates the influence of type of anesthesia on survival and recurrence rate in patients receiving colon cancer surgery. The participants will be allocated to either the TIVA group and the inhalation group.
Detailed description
The effect of anesthesia on cancer recurrence and survival is controversial. According to some retrospective studies and preclinical studies, total intravenous anesthesia (TIVA) is suggested to be more favorable than inhalation anesthesia regarding cancer recurrence and survival after surgery. However, there is no randomized controlled study to determine this difference in colon cancer patients.
Interventions
propofol 1-2 mg/kg bolus injection for induction of anesthesia propofol continuous infusion for maintenance of anesthesia
sevoflurane is administered for induction and maintenance of anesthesia
Sponsors
Study design
Eligibility
Inclusion criteria
* adults undergoing surgery to remove colon cancer
Exclusion criteria
* pregnancy * colon cancer with invasion to perineum * palliative surgery * history of diagnosis or surgery for other cancer * emergent surgery * ASA PS classification 4 and 5 * refusion to participate in the study * allergy to anesthetics
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| five year survival | five years survival | survival rate regardless of recurrence |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| five year recurrence free survival | five years after surgery | survival rate without recurrence |
| 1 year recurrence free survival | 1 year after surgery | survival rate without recurrence |
| 3 year recurrence free survival | 3 years after surgery | survival rate without recurrence |
| 1 year survival | 1 year after surgery | survival regardless of recurrence |
| 3 year survival | 3 years after surgery | survival regardless of recurrence |
Countries
South Korea