Is the Mayo adhesive probability score predictive of post-operative Clavien-Dindo complication grade in laparoscopic adrenalectomy?

IF 1 4区医学 Q3 SURGERY

Journal of Minimal Access Surgery Pub Date : 2025-05-09 DOI:10.4103/jmas.jmas_257_24

Burhan Baylan, Yasin Sarıkaya

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引用次数: 0

Abstract

Introduction: Laparoscopic adrenalectomy (LA) continues to be considered the optimum approach to the surgical treatment of small benign adrenal tumours. The present study explores the correlation between the Mayo adhesive probability (MAP) score, derived from computed tomography images and delineating such perinephric fat characteristics as thickness and adhesiveness, and post-operative complications in patients undergoing LA.

Patients and methods: Data of patients who underwent LA between 2013 and 2023 were subjected to a retrospective analysis, and MAP scores were calculated for all patients. Intraoperative and post-operative surgical outcomes, as well as any complications, were categorised using Modified Clavien-Dindo grading, and the relationship between their MAP scores and outcomes was analysed.

Results: The mean body mass index, rate of overweight patients, Clavien-Dindo scores of II, III or IV, surgical time, hospitalisation duration, transfusion requirement and post-operative blood loss of the group of patients with MAP scores of 2-3 were significantly higher than those in the group with MAP scores in the 0-1 range (P < 0.05). Each one-point increase in MAP score led to a 2.559-times greater probability of a Clavien-Dindo Grade > I (95% confidence interval: 1.391-4.708, P < 0.05).

Conclusion: A high MAP score is associated with Grade II and higher Clavien-Dindo complications in LA.

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梅奥粘连概率评分能否预测腹腔镜肾上腺切除术后Clavien-Dindo并发症的分级？

腹腔镜肾上腺切除术（LA）一直被认为是手术治疗小良性肾上腺肿瘤的最佳方法。本研究探讨Mayo粘连概率（MAP）评分与LA患者术后并发症之间的关系。MAP评分来源于计算机断层扫描图像，描绘了肾周脂肪的厚度和粘连性等特征。患者和方法：对2013年至2023年接受LA治疗的患者数据进行回顾性分析，并计算所有患者的MAP评分。采用改良Clavien-Dindo分级法对术中、术后手术结果及并发症进行分类，并分析MAP评分与结果的关系。结果：MAP评分为2 ~ 3分组患者的平均体重指数、超重发生率、Clavien-Dindo评分为II、III或IV分、手术时间、住院时间、输血需要量、术后出血量均显著高于MAP评分为0 ~ 1分组（P < 0.05）。MAP评分每增加1分，Clavien-Dindo分级> I的概率增加2.559倍（95%置信区间：1.391 ~ 4.708,P < 0.05）。结论：高MAP评分与LA II级及更高的Clavien-Dindo并发症相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Minimal Access Surgery SURGERY-

CiteScore

1.70

自引率

0.00%

发文量

151

审稿时长

36 weeks

期刊介绍： Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.