Comparison of the Effects of Conventional and Minimally Invasive Cardiac Surgery with Cardiopulmonary Bypass on Inflammatory, Hepatic and Renal Parameters

Aim: Cardiac surgery has been performed by conventional methods for many years, but in recent years, minimally invasive cardiac surgery has come to the forefront. The aim of this study was to evaluate the effects of conventional and minimally invasive cardiac surgery performed under CPB guidance on inflammatory, hepatic and renal parameters. Methods: In this retrospective study, those who underwent conventional cardiac surgery with CPB were defined as Group 1 and those who underwent minimally invasive cardiac surgery were defined as Group 2. Descriptive data of the groups, preoperative and postoperative urea, creatinine, ALT, AST, GGT, WBC, CRP data which are indicators of inflammatory, hepatic and renal functions, and peroperative variables such as intubation time, ICU time and hospital stay time were evaluated. Results: In this study, demographic data of the two groups were similar (p > 0.05). Preoperative and postoperative inflammatory, hepatic, renal parameters (urea, creatinine, WBC, CRP, AST, ALT, GGT), ICU time, hospital stay and mortality rates were also similar (p > 0.05). However, there were statistically significant differences between the groups in terms of duration of AKI (p = 0.021), total perfusion time (p = 0.001) and mechanical ventilation time (p = 0.005), and these values were higher in Group 2. Conclusion: Minimally invasive cardiac surgery performed under CPB guidance was associated with longer LOS, total perfusion time and duration of mechanical ventilation compared to conventional cardiac surgery. However, inflammatory, renal and hepatic parameters showed similar results, although there were no significant differences.