Stress caused by minimally invasive cardiac surgery versus conventional cardiac surgery: incidence of systemic inflammatory response syndrome

World Journal of Surgery
K HamanoK Esato

Abstract

The present study was conducted to evaluate the degree of stress in patients induced by minimally invasive cardiac surgery (MICS) in comparison with that caused by conventional cardiac surgery. We did this by assessing the incidence of systemic inflammatory response syndrome (SIRS). A total of 48 adult patients who underwent surgery for single valve disease were included in this study, 27 of whom underwent conventional surgery and 21 MICS. We evaluated the stress inflicted on the patients in these two groups by analyzing the duration and degree of SIRS and the level of C-reactive protein (CRP). SIRS was assessed by measuring body temperature, heart rate, respiratory rate, and white blood cell counts. There were no significant differences in the operating times, perfusion times, or aorta clamp times between the two groups; and the mean volume of blood transfusion did not differ significantly either. There was no significant difference in the incidence of SIRS or the mean duration of SIRS between the two groups. The CRP levels did not differ significantly between the two groups. Thus although MICS is superior to conventional cardiac surgery in that only a small skin incision is required, the stress experienced by the patient may ...Continue Reading

Citations

Oct 3, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Paul ModiWalter Randolph Chitwood
Apr 23, 2013·Minimally Invasive Surgery·Fabiana LucàSandro Gelsomino
Jul 31, 2010·Journal of the American College of Cardiology·Jan D SchmittoLawrence H Cohn
Nov 24, 2005·Asian Cardiovascular & Thoracic Annals·Shahzad G Raja, Gilles D Dreyfus
Apr 11, 2017·The Cochrane Database of Systematic Reviews·Bilal H KirmaniRichard Jnn Williams
Dec 19, 2013·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Paul TangDonald D Glower
Mar 21, 2002·Hospital Medicine·Susanne HerroederMarkus W Hollmann
Mar 4, 2008·The International Journal of Artificial Organs·R BellomoC Ronco

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