{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T05:07:43Z","timestamp":1791090463396,"version":"4.1.0"},"reference-count":0,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,2,24]],"date-time":"2014-02-24T00:00:00Z","timestamp":1393200000000},"content-version":"vor","delay-in-days":4771,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2001,2]]},"abstract":"<jats:title>Abstract.<\/jats:title><jats:p>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\u00a0MICS. 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\u2010reactive 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 be the same as that experienced by the patient undergoing conventional cardiac surgery.<\/jats:p>","DOI":"10.1007\/s002680020048","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T05:57:49Z","timestamp":1030255069000},"page":"117-121","source":"Crossref","is-referenced-by-count":20,"title":["Stress Caused by Minimally Invasive Cardiac Surgery versus Conventional Cardiac Surgery: Incidence of Systemic Inflammatory Response Syndrome"],"prefix":"10.1002","volume":"25","author":[{"given":"Kimikazu","family":"Hamano","sequence":"first","affiliation":[{"name":"First Department of Surgery Yamaguchi University School of Medicine 1144\u00a0Kogushi Ube, Yamaguchi 755\u20108505 Japan<!--<country1>JP<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsutomu","family":"Kawamura","sequence":"additional","affiliation":[{"name":"First Department of Surgery Yamaguchi University School of Medicine 1144\u00a0Kogushi Ube, Yamaguchi 755\u20108505 Japan<!--<country1>JP<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidenori","family":"Gohra","sequence":"additional","affiliation":[{"name":"First Department of Surgery Yamaguchi University School of Medicine 1144\u00a0Kogushi Ube, Yamaguchi 755\u20108505 Japan<!--<country1>JP<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoe","family":"Katoh","sequence":"additional","affiliation":[{"name":"First Department of Surgery Yamaguchi University School of Medicine 1144\u00a0Kogushi Ube, Yamaguchi 755\u20108505 Japan<!--<country1>JP<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiko","family":"Fujimura","sequence":"additional","affiliation":[{"name":"First Department of Surgery Yamaguchi University School of Medicine 1144\u00a0Kogushi Ube, Yamaguchi 755\u20108505 Japan<!--<country1>JP<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuya","family":"Zempo","sequence":"additional","affiliation":[{"name":"First Department of Surgery Yamaguchi University School of Medicine 1144\u00a0Kogushi Ube, Yamaguchi 755\u20108505 Japan<!--<country1>JP<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Tokuyama Central Hospital 1\u20101\u00a0Koda\u2010cho Tokuyama, Yamaguchi 745\u20100822 Japan<!--<country1>JP<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidetoshi","family":"Tsuboi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Yamaguchi Central Hospital 77 Osaki, Hofu Yamaguchi 747\u20100065 Japan<!--<country1>JP<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Tanimoto","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Yamaguchi Central Hospital 77 Osaki, Hofu Yamaguchi 747\u20100065 Japan<!--<country1>JP<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kensuke","family":"Esato","sequence":"additional","affiliation":[{"name":"First Department of Surgery Yamaguchi University School of Medicine 1144\u00a0Kogushi Ube, Yamaguchi 755\u20108505 Japan<!--<country1>JP<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,2,24]]},"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s002680020048.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s002680020048\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s002680020048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T19:37:47Z","timestamp":1703705867000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s002680020048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,2]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2001,2]]}},"alternative-id":["10.1007\/s002680020048"],"URL":"https:\/\/doi.org\/10.1007\/s002680020048","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,2]]}}}