SummaryIntroductionOnco‐anaesthesia is a specialised branch of anaesthesia dedicated to enhancing outcomes, prioritising patient safety and improving the overall care of patients with cancer during surgery. We outline the global epidemiology of cancer, emphasising the necessity for this subspecialty, and discuss the criteria supporting its establishment.MethodsWe performed searches of electronic databases to identify relevant peer‐reviewed publications. The search was designed to capture a wide range of study types, including randomised controlled trials; retrospective studies; meta‐analyses; and systematic reviews. The titles and abstracts were screened to identify publications relevant to onco‐anaesthesia, cancer recurrence and return to intended therapy. The reference lists were manually reviewed to identify relevant papers for consideration.ResultsThis review highlights the growth of onco‐anaesthesia over the past decade. Research opportunities abound in areas such as: the impact of anaesthesia on cancer recurrence; the use of enhanced recovery after surgery programmes; patient blood management; peri‐operative nutrition; techniques for modulating peri‐operative inflammatory responses; and strategies to reduce the time to return to intended oncological treatment.DiscussionBy integrating various subspecialties within oncology centres, onco‐anaesthesia ensures a thorough and holistic approach to both curative and palliative cancer care, ultimately improving patient outcomes and providing better support for families and caregivers throughout the peri‐operative period.

中文翻译：

---

肿瘤麻醉的演变和关键组成部分：叙述性回顾*


摘要简介肿瘤麻醉是麻醉的一个专业分支，致力于提高结果、优先考虑患者安全并改善手术期间癌症患者的整体护理。我们概述了癌症的全球流行病学，强调了该亚专业的必要性，并讨论了支持其建立的标准。方法我们对电子数据库进行了检索，以确定相关的同行评审出版物。检索旨在捕获广泛的研究类型，包括随机对照试验;回顾性研究;meta 分析;和系统评价。筛选标题和摘要以确定与肿瘤麻醉、癌症复发和恢复预期治疗相关的出版物。人工审查参考文献列表以确定可供考虑的相关论文。结果本综述重点介绍了过去十年肿瘤麻醉的增长。研究机会比比皆是，例如：麻醉对癌症复发的影响;使用加速康复手术后计划;患者血液管理;围手术期营养;调节围手术期炎症反应的技术;以及减少恢复预期肿瘤治疗时间的策略。讨论通过在肿瘤中心整合各种亚专科，肿瘤麻醉确保了对治愈性和姑息性癌症护理的全面和整体方法，最终改善患者的预后，并在整个围手术期为家庭和护理人员提供更好的支持。