Effects of Regional Nerve Block on Cancer Recurrence
Study Details
Study Description
Brief Summary
It has been reported local anesthetics could inhibit tumor cell proliferation, metastasis and invasion ability,but it is still lack of clinical evidence. Our study aims to explore the effects of regional nerve block on cancer recurrence and the mechanism.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
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To study the effects of TAP block under ultrasound guide on the recurrence of gastric carcinoma, colon cancer, rectal carcinoma and liver cancer and the underlying mechanisms.
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To clarify the effects of Lateral thoracic nerve block under ultrasound guide on the recurrence of lung cancer and the underlying mechanisms.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Placebo Comparator: Normal saline equal volume of normal saline as treatment group |
Other: Normal saline
Injection of Normal saline around peripheral nerve
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Active Comparator: peripheral Nerve block 0.35% ropivacaine and 0.5% lidocaine in normal saline |
Other: peripheral Nerve block
Injection of local anesthetics around peripheral nerve
|
Outcome Measures
Primary Outcome Measures
- the effect of nerve block on the cancer recurrence rate and survival rate postoperation [up to 5 years after surgery]
to trace cancer recurrence after tumor resection with CT scaning and tumor biological maker test for 5 years
Secondary Outcome Measures
- dosage of intraoperative anesthetic [intraoperative period]
Record the propofol and remifentanil during the operation
- the effect of nerve block on the percentage and classification of immunocyte and content of cytokines [at 0h, 24h, 48h after nerve block]
percentage and classification of immunocyte will be detected by Use flow cytometry, and cytokines will be detected by ELISA
- VAS after operation [at 24h, 48h after nerve block]
Assess the visual analogue scale 24,48h after nerve block
- activity after operation [up to 2 weeks]
Observe recovery time of gastrointestinal function and off-bed activity after nerve block
- Hospital stay [up to 4 weeks after surgery]
Observe length of hospital stay
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients with primary cancer undergoing elective surgery under general anesthesia
Exclusion Criteria:
- Disagree to participate,drop out,lose track, infectious abdominal wall,abnormal puncture point,coagulation dysfunction,allergy of local anesthetic ,immune disease,cancer metastasis,mental disease, acute and chronic infectious disease or other severe disease.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | The first affiliated hospital of nanchang university | Nanchang | Jiangxi | China | 330006 |
Sponsors and Collaborators
- Luo Foquan
Investigators
- Study Chair: Foquan Luo, professor, The First Affiliated Hospital of Nanchang University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- LFoquan