Abstract:
:The aim of the present review was to investigate whether host-tumor interactions are causal or consecutive clinical factors associated with surgical stress that influence the long-term survival after a curative resection of colorectal cancer. A Medline/PubMed search was conducted to identify the relevant articles investigating the factors related to surgical stress and their effects on the long-term survival after a curative resection of colorectal cancer. The intraoperative state is defined as a cytokine storm in which ongoing local cytokine production occurs at the site of the tumor, thus further enhancing the autocrine cytokine loop for angiogenic factor production. The postoperative state is defined as tissue regeneration in which surgery-related clinical events enhance the systemic induction of inflammatory cytokines, which in turn synergistically exaggerate the local activation of tumor growth factors. Host-tumor interactions under surgical stress may act synergistically as potent tumor growth factors, and may thus influence long-term survival. Controlling surgical insults and/or regulating perioperative inflammatory responses may therefore lead to new therapeutic approaches for controlling disease recurrence.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Miki C,Tanaka K,Inoue Y,Araki T,Ohi M,Mohri Y,Uchida K,Kusunoki Mdoi
10.1007/s00595-007-3674-6subject
Has Abstractpub_date
2008-01-01 00:00:00pages
579-84issue
7eissn
0941-1291issn
1436-2813journal_volume
38pub_type
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