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Perioperative Intravenous Lidocaine and Metastatic Cancer Recurrence - A Narrative Review
Thomas P Wall1,2, Donal J Buggy1,2,3
1Department of Anaesthesiology, Mater Misericordiae University Hospital, School of Medicine, University College Dublin, Dublin, Ireland.
Perioperative lidocaine may inhibit cancer cell activity and reduce recurrence risk. Further clinical trials are needed to confirm the anti-cancer benefits of this safe and inexpensive anesthetic agent.
Area of Science:
- Oncology
- Anesthesiology
- Immunology
Background:
- Cancer is a leading cause of death, with recurrence post-surgery being a significant challenge.
- Perioperative anesthetic and analgesic choices may impact residual cancer cell activity and recurrence.
- Lidocaine, a common local anesthetic, shows anti-cancer properties in laboratory settings.
Purpose of the Study:
- To review current knowledge on perioperative lidocaine therapy for cancer.
- To summarize biological effects of lidocaine on cancer cells and immune responses.
- To assess the influence of lidocaine on postoperative cancer outcomes.
Main Methods:
- Review of laboratory and retrospective clinical studies on lidocaine's effects.
- Analysis of lidocaine's impact on cancer cell behavior and inflammatory/immune responses.
- Examination of evidence regarding perioperative lidocaine and cancer recurrence.
Main Results:
- Laboratory studies indicate lidocaine inhibits cancer cell behavior.
- Lidocaine demonstrates beneficial effects on inflammatory and immune responses relevant to cancer biology.
- Prospective clinical evidence for anti-cancer effects of perioperative lidocaine is currently limited.
Conclusions:
- Perioperative lidocaine shows potential as an inexpensive, safe adjuvant therapy to improve long-term cancer outcomes.
- Further robust prospective clinical trials are essential to validate these anti-cancer effects.
- Lidocaine's role in managing postoperative cancer recurrence warrants continued investigation.
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