{"id":334324,"date":"2020-05-06T02:00:00","date_gmt":"2020-05-06T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/lanesthesie-na-pas-dinfluence-sur-le-risque-de-recidive\/"},"modified":"2020-05-06T02:00:00","modified_gmt":"2020-05-06T00:00:00","slug":"lanesthesie-na-pas-dinfluence-sur-le-risque-de-recidive","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/lanesthesie-na-pas-dinfluence-sur-le-risque-de-recidive\/","title":{"rendered":"L&#8217;anesth\u00e9sie n&#8217;a pas d&#8217;influence sur le risque de r\u00e9cidive"},"content":{"rendered":"<p><strong>L&#8217;une des plus grandes \u00e9tudes mondiales a montr\u00e9 que le risque de r\u00e9cidive apr\u00e8s une op\u00e9ration curative du cancer du sein n&#8217;\u00e9tait pas r\u00e9duit par une anesth\u00e9sie r\u00e9gionale par rapport \u00e0 une anesth\u00e9sie g\u00e9n\u00e9rale aux opio\u00efdes. Ces r\u00e9sultats r\u00e9futent l&#8217;hypoth\u00e8se selon laquelle l&#8217;anesth\u00e9sie pourrait avoir un impact n\u00e9gatif sur la r\u00e9currence du cancer du sein.<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p>Sur une p\u00e9riode de dix ans, plus de 2000 femmes ayant subi une chirurgie curative du cancer du sein ont \u00e9t\u00e9 \u00e9tudi\u00e9es. L&#8217;objectif \u00e9tait de d\u00e9terminer si la m\u00e9thode d&#8217;anesth\u00e9sie avait une influence sur le risque de r\u00e9cidive. Pour cela, les patients ont \u00e9t\u00e9 suivis r\u00e9guli\u00e8rement pendant plusieurs ann\u00e9es en ce qui concerne leur taux de r\u00e9cidive. Il s&#8217;est av\u00e9r\u00e9 que l&#8217;anesth\u00e9sie r\u00e9gionale ne pr\u00e9sentait aucun avantage en termes de r\u00e9cidive du cancer du sein. L&#8217;anesth\u00e9sie g\u00e9n\u00e9rale et l&#8217;anesth\u00e9sie locor\u00e9gionale sont toutes deux des m\u00e9thodes d&#8217;anesth\u00e9sie s\u00fbres, avec tr\u00e8s peu d&#8217;effets secondaires et de complications. Toutefois, apr\u00e8s un bloc paravert\u00e9bral, les patients ont ressenti moins de douleurs et ont moins souffert de naus\u00e9es et de vomissements postop\u00e9ratoires.<\/p>\n<h2 id=\"les-opioides-valent-mieux-que-leur-reputation\">Les opio\u00efdes valent mieux que leur r\u00e9putation<\/h2>\n<p>L&#8217;utilisation des opio\u00efdes a \u00e9t\u00e9 discr\u00e9dit\u00e9e apr\u00e8s que des \u00e9tudes sur les animaux ont montr\u00e9 un lien entre les opio\u00efdes et l&#8217;affaiblissement du syst\u00e8me immunitaire, avec des effets ult\u00e9rieurs sur la croissance des tumeurs. Les r\u00e9sultats de la pr\u00e9sente \u00e9tude r\u00e9futent cette hypoth\u00e8se et soulignent l&#8217;importance des opio\u00efdes dans le traitement.<\/p>\n<p><em>Source : &#8220;Anaesthesia for breast cancer surgery has no influence on risk of tumor recurrence&#8221;, 21.10.2019, Medical University of Vienna<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><em>InFo ONKOLOGIE &amp; H\u00c4MATOLOGIE 2019 ; 7(6) : 42 (publi\u00e9 le 10.12.19, ahead of print)<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L&#8217;une des plus grandes \u00e9tudes mondiales a montr\u00e9 que le risque de r\u00e9cidive apr\u00e8s une op\u00e9ration curative du cancer du sein n&#8217;\u00e9tait pas r\u00e9duit par une anesth\u00e9sie r\u00e9gionale par rapport&hellip;<\/p>\n","protected":false},"author":7,"featured_media":93692,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Cancer du sein","footnotes":""},"category":[11523,11394,11527,11531,11422,11389,11549],"tags":[12933,13596,13591],"powerkit_post_featured":[],"class_list":["post-334324","post","type-post","status-publish","format-standard","has-post-thumbnail","category-actualites","category-anesthesiologie","category-etudes","category-formation-continue","category-gynecologie","category-oncologie","category-rx-fr","tag-anesthesie","tag-cancer-du-sein-fr","tag-cancer-du-sein","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-06-16 15:32:19","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":334332,"slug":"lanestesia-non-influisce-sul-rischio-di-recidiva","post_title":"L'anestesia non influisce sul rischio di recidiva.","href":"https:\/\/medizinonline.com\/it\/lanestesia-non-influisce-sul-rischio-di-recidiva\/"},"pt_PT":{"locale":"pt_PT","id":334339,"slug":"a-anestesia-nao-tem-influencia-sobre-o-risco-de-recidiva","post_title":"A anestesia n\u00e3o tem influ\u00eancia sobre o risco de recidiva","href":"https:\/\/medizinonline.com\/pt-pt\/a-anestesia-nao-tem-influencia-sobre-o-risco-de-recidiva\/"},"es_ES":{"locale":"es_ES","id":334299,"slug":"la-anestesia-no-influye-en-el-riesgo-de-recidiva","post_title":"La anestesia no influye en el riesgo de recidiva","href":"https:\/\/medizinonline.com\/es\/la-anestesia-no-influye-en-el-riesgo-de-recidiva\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/334324","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=334324"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/334324\/revisions"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=334324"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=334324"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=334324"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=334324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}