The Effect of the MAYO Adhesive Probability Score on Intraoperative Parameters in Laparoscopic Live Donor Nephrectomy and Bench Surgery

IF 0.1 Q4 UROLOGY & NEPHROLOGY Journal of Urological Surgery Pub Date : 2023-03-06 DOI:10.4274/jus.galenos.2023.2023.0007
S. Akinci, O. Açıkgöz, Mert Altınel
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Abstract

Objective: Mayo Adhesive Probability score (MAP score) is a nephrometry system to predict surgical difficulty using radiologic image-based measurements and interpretations. MAP score is based on two main factors: Perinephric fat thickness at the level of the renal vein and perinephric fat stranding, which was defined as a linear area of soft tissue attenuation in the perinephric space. This study evaluated the efficacy of the MAP score on intraoperative parameters of laparoscopic donor nefrectomy and bench surgery. Materials and Methods: Four hundred twenty-one laparoscopic live-donor nephrectomies (LDN) and subsequent bench surgeries carried out between 2016 and 2022 have been included in this study. Preoperative computerized tomography images of donors were blindly scored for determination of MAP scores. Sex, age, hypertension, cigarette smoking, dyslipidemia, and body mass index (BMI) were evaluated as risk factors for high MAPS. Results: In females and males, the percentage of donors in the high MAPS group was 11.79% and 25.32%, respectively, and the difference between the two groups is statistically significant. Similarly, the percentage of donors in the high MAPS group is higher in smokers (42.57%) compared to non-smokers (8.75%) (p<0.05). Conclusion: Although a high MAP score can lead to longer operative time both in LDN and bench surgery, complications in LDN and bench surgery do not seem to be affected by a high MAP score.
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MAYO粘附概率评分对腹腔镜活体供肾及台架手术术中参数的影响
目的:Mayo粘连概率评分(MAP评分)是一种肾脏测量系统,通过基于放射影像的测量和解释来预测手术难度。MAP评分基于两个主要因素:肾静脉水平的肾周脂肪厚度和肾周脂肪搁浅,肾周脂肪搁浅被定义为肾周间隙软组织衰减的线性区域。本研究评估MAP评分对腹腔镜供肾网切除术和平板手术术中参数的影响。材料和方法:本研究纳入2016年至2022年期间进行的421例腹腔镜活体供体肾切除术(LDN)及随后的台架手术。对供体术前计算机断层图像进行盲目评分,以确定MAP评分。性别、年龄、高血压、吸烟、血脂异常和身体质量指数(BMI)被评价为高MAPS的危险因素。结果:在女性和男性中,高MAPS组的献血者比例分别为11.79%和25.32%,两组差异有统计学意义。同样,高map组中吸烟者的捐献比例(42.57%)高于非吸烟者(8.75%)(p<0.05)。结论:虽然高MAP评分会导致LDN和长凳手术的手术时间延长,但高MAP评分似乎不会影响LDN和长凳手术的并发症。
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来源期刊
Journal of Urological Surgery
Journal of Urological Surgery UROLOGY & NEPHROLOGY-
自引率
33.30%
发文量
42
审稿时长
16 weeks
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