PMID- 37066843 OWN - NLM STAT- Publisher LR - 20230417 IS - 2046-5556 (Electronic) IS - 0264-8725 (Linking) DP - 2023 Apr 17 TI - Comparison of effects of different anesthesia methods on immune function and liver function of liver cancer patients after operation. PG - 1-11 LID - 10.1080/02648725.2023.2201521 [doi] AB - Liver cancer, one of the most common malignant tumors, has seriously threatened people's physical and mental health. The paper was conducted to investigate the functions of two different anesthesia methods on Tumor necrosis factor-alpha (TNF-alpha), C-reactive protein (CRP) and T lymphocyte subsets in patients undergoing liver cancer resection, and to explore the liver function impact of patients undergoing liver cancer surgery. 80 liver cancer patients were split into propofol intravenous anesthesia group and sevoflurane inhalation anesthesia group. The patient's operation-related indicators and changes in TNF-alpha, CRP and T lymphocyte subsets before anesthesia, after anesthesia, 1 day after anesthesia, and 3 days after anesthesia were calculated. The levels of TNF-alpha and CRP in the two groups after operation were clearly higher than those before anesthesia, but there was no obvious difference between the two groups. After operation, the TNF-alpha of the propofol intravenous anesthesia group was lower than the sevoflurane inhalation anesthesia group. The CD3+, CD4+ and CD4+/CD8+ levels in both groups recovered to the pre-anaesthesia level 3 days after the operation. The levels of ALT, AST, ALB and TBIL returned to normal at d4 in both propofol intravenous anesthesia and sevoflurane inhalation anesthesia groups. Compared with evoflurane inhalation anesthesia for patients with liver cancer, intravenous anesthesia with propofol can reduce the body's inflammatory response to a certain extent, has weak inhibitory effect on T lymphocyte immune function, and a smaller effect on liver function. FAU - Feng, Xi AU - Feng X AD - Department of Anesthesiology, General Hospital of the Yangtze River Shipping (Wuhan Brain Hospital), Hankou, China. FAU - Ma, Yao AU - Ma Y AD - Department of Anesthesiology, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuchang, China. FAU - Yang, Jun AU - Yang J AD - Department of Anesthesiology, General Hospital of the Yangtze River Shipping (Wuhan Brain Hospital), Hankou, China. FAU - Peng, Pai AU - Peng P AD - Department of Anesthesiology, General Hospital of the Yangtze River Shipping (Wuhan Brain Hospital), Hankou, China. FAU - Zeng, Xiaohua AU - Zeng X AD - Department of Anesthesiology, General Hospital of the Yangtze River Shipping (Wuhan Brain Hospital), Hankou, China. FAU - Shen, Lei AU - Shen L AD - Department of Anesthesiology, General Hospital of the Yangtze River Shipping (Wuhan Brain Hospital), Hankou, China. FAU - Hu, Tingting AU - Hu T AD - Department of Anesthesiology, General Hospital of the Yangtze River Shipping (Wuhan Brain Hospital), Hankou, China. FAU - Luo, Qin AU - Luo Q AD - Department of Anesthesiology, General Hospital of the Yangtze River Shipping (Wuhan Brain Hospital), Hankou, China. LA - eng PT - Journal Article DEP - 20230417 PL - England TA - Biotechnol Genet Eng Rev JT - Biotechnology & genetic engineering reviews JID - 8510274 SB - IM OTO - NOTNLM OT - Liver cancer OT - anesthesia OT - immune OT - propofol OT - sevoflurane EDAT- 2023/04/18 06:00 MHDA- 2023/04/18 06:00 CRDT- 2023/04/17 05:42 PHST- 2023/04/17 05:42 [entrez] PHST- 2023/04/18 06:00 [pubmed] PHST- 2023/04/18 06:00 [medline] AID - 10.1080/02648725.2023.2201521 [doi] PST - aheadofprint SO - Biotechnol Genet Eng Rev. 2023 Apr 17:1-11. doi: 10.1080/02648725.2023.2201521.