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Table 2 Clinical trials comparing volatile anesthetics with propofol in breast cancer surgery

From: Effect of Propofol on breast Cancer cell, the immune system, and patient outcome

Type of Study

Reference

Cancer

Surgery Type

Anesthetic Technique

Number of Patients

Outcome (95% CI)

Estimated Completion Date

Retrospective

Enlund et al.

Breast Cancer

Breast cancer surgery

GA with propofol or sevoflurane

1873 (620 in propofol and 1217 in sevoflurane)

3% higher for overall survival at one year in propofol group (p < 0.001)

Finished

Retrospective

Lee et al

Breast Cancer

Modified radical mastectomy

Propofol-based TIVA or sevoflurane-based anesthesia

325 (173 in TIVA and 152 in sevoflurane)

Propofol group showed a lower rate of cancer recurrence (p = 0.037)

Finished

Retrospective

Kim et al

Breast Cancer

Breast Cancer surgery

Propofol-based TIVA or sevoflurane-based anesthesia

2645 (56 in TIVA and 2589 in volatile--base anesthesia)

No difference

Finished

Prospective

University of Zurich

Breast Cancer

Breast Cancer surgery

GA with propofol TCI or sevoflurane

231

Circulating tumor cells at 3 days after surgery

August, 2017

Prospective

Konkuk University Medical Center

Breast Cancer

Breast Cancer surgery

GA with propofol or sevoflurane

300

NK cell activity at 1 and 24 h after surgery

July, 2020

Prospective

Uppsala University

Breast, colonic and rectal cancer

Breast Cancer surgery

GA with propofol or sevoflurane

2000

Overall 5-year survival

December, 2022

  1. GA general anesthesia, TIVA total intravenous anesthesia, TCI target-controlled infusion, NK cell natural killer cell