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Related Concept Videos

Tumor Immunotherapy01:27

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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
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Related Experiment Video

Updated: Jun 21, 2025

A Mouse Tumor Model of Surgical Stress to Explore the Mechanisms of Postoperative Immunosuppression and Evaluate Novel Perioperative Immunotherapies
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Perioperative Immunosuppressive Factors during Cancer Surgery: An Updated Review.

Lucillia Bezu1,2,3,4, Dilara Akçal Öksüz1,5,6, Max Bell1,7,8

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Cancer surgery

Keywords:
anesthesiacancerimmune factorssurgery

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Area of Science:

  • Oncology
  • Immunology
  • Anesthesiology

Background:

  • Surgery, while curative for solid tumors, can impair immune function and promote cancer recurrence.
  • The perioperative period is critical for managing factors like inflammation, malnutrition, and anemia that affect immune response.
  • Anesthetic agents may influence cancer cell behavior and patient outcomes, though clinical evidence is still developing.

Purpose of the Study:

  • To review perioperative factors impacting immunomodulation and cancer progression during cancer surgery.
  • To discuss patient management strategies in the perioperative period for cancer patients.
  • To highlight the role of anesthetics in cancer surgery outcomes.

Main Methods:

  • Literature review of preclinical and clinical studies.
  • Analysis of factors affecting the immune system during the perioperative period.
  • Discussion of pharmacological and non-pharmacological supportive approaches.

Main Results:

  • Surgery can induce an immunosuppressive response, potentially favoring tumor recurrence.
  • Perioperative factors such as malnutrition and anemia can negatively impact immune effectors.
  • Anesthetics show potential to modulate tumor growth, but clinical data on survival is inconclusive.

Conclusions:

  • Optimizing the perioperative period is crucial for supporting the immune system and improving cancer outcomes.
  • Further clinical research is needed to clarify the impact of anesthetic agents on cancer recurrence and survival.
  • Integrated perioperative management strategies are essential for cancer patients undergoing surgery.