The Mayo Adhesive Probability score can help predict intra- and postoperative complications in patients undergoing laparoscopic donor nephrectomy

Purpose Living donor nephrectomy is a high-stake procedure involving healthy individuals, therefore every effort should be made to define each patient’s individualized risk and improve potential donors’ information. The aim of this study was to evaluate the interest of the Mayo adhesive probability...

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Bibliographic Details
Published in:World journal of urology 2021-07, Vol.39 (7), p.2775-2781
Main Authors: Franquet, Quentin, Matillon, Xavier, Terrier, Nicolas, Rambeaud, Jean-Jacques, Crouzet, Sebastien, Long, Jean-Alexandre, Fassi-Fehri, Hakim, Codas-Duarte, Ricardo, Poncet, Delphine, Jouve, Thomas, Noble, Johan, Malvezzi, Paolo, Rostaing, Lionel, Descotes, Jean-Luc, Badet, Lionel, Fiard, Gaelle
Format: Article
Language:English
Subjects:
Adult
Female
Human health and pathology
Humans
Intraoperative Complications
Kidneys
Laparoscopy
Life Sciences
Male
Medicine
Medicine & Public Health
Middle Aged
Multivariate analysis
Nephrectomy
Nephrectomy - adverse effects
Nephrectomy - methods
Nephrology
Oncology
Organ donors
Original Article
Patients
Postoperative Complications
Retrospective Studies
Surgery
Tissue and Organ Harvesting - methods
Urology
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Summary:Purpose Living donor nephrectomy is a high-stake procedure involving healthy individuals, therefore every effort should be made to define each patient’s individualized risk and improve potential donors’ information. The aim of this study was to evaluate the interest of the Mayo adhesive probability (MAP) score, an imaging-based score initially designed to estimate the risk of adherent perinephric fat in partial nephrectomy, to predict intra- and postoperative complications of living donor nephrectomy. Materials and methods We retrospectively reviewed the imaging, clinical, and follow-up data of 452 kidney donors who underwent laparoscopic donor nephrectomy in two academic centers. Results Imaging and follow-up data were available for 307 kidney donors, among which 44 (14%) had a high MAP score (≥ 3). Intraoperative difficulties were encountered in 50 patients (16%), including difficult dissection ( n =  35) and bleeding ( n =  17). Conversion to open surgery was required for 13 patients (4.2%). On multivariate analysis, a MAP score ≥ 3 was significantly associated with the risk of intraoperative difficulty [OR 14.12 (5.58–35.7), p  
ISSN:0724-4983
1433-8726
DOI:10.1007/s00345-020-03513-4