The Mayo Adhesive Probability score can help predict intra- and postoperative complications in patients undergoing lapar
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ORIGINAL ARTICLE
The Mayo Adhesive Probability score can help predict intra‑ and postoperative complications in patients undergoing laparoscopic donor nephrectomy Quentin Franquet1 · Xavier Matillon2 · Nicolas Terrier1 · Jean‑Jacques Rambeaud1 · Sebastien Crouzet2 · Jean‑Alexandre Long1,3 · Hakim Fassi‑Fehri2 · Ricardo Codas‑Duarte2 · Delphine Poncet1 · Thomas Jouve4 · Johan Noble4 · Paolo Malvezzi4 · Lionel Rostaing4 · Jean‑Luc Descotes1,3 · Lionel Badet2 · Gaelle Fiard1,3 Received: 3 July 2020 / Accepted: 27 October 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract 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
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