Predictive Value of MAP and E-PASS Scores for Postoperative Complications following Laparoscopic Total and Partial Adrenalectomy
Urologia Internationalis, cilt.110, sa.4, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 110 Sayı: 4
- Basım Tarihi: 2026
- Doi Numarası: 10.1159/000549132
- Dergi Adı: Urologia Internationalis
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, Gender Studies Database, MEDLINE, Academic Search Ultimate (EBSCO)
- Anahtar Kelimeler: Mayo Adhesive Probability Score, The Estimation of Physiologic Ability and Surgical Stress Score, Complication, Laparoscopic adrenalectomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: The aim of the study was to evaluate the predictive value of Mayo Adhesive Probability (MAP) and the Estimation of Physiologic Ability and Surgical Stress (E-PASS) scores for postoperative complications in laparoscopic total adrenalectomy (LTA) and partial adrenalectomy (LPA). Methods: This study included 140 patients who underwent transperitoneal laparoscopic adrenalectomy at our clinic. Patients were grouped based on the presence (group 1, n = 11) or absence (group 2, n = 129) of complications. Preoperative, perioperative, and postoperative data were collected. A MAP score ≥2 was defined as high. Results: Group 1 had a higher incidence of chronic pulmonary and coronary artery disease (p < 0.001). Operative time and estimated blood loss (EBL) were also significantly greater (p = 0.036 and p = 0.041). High MAP scores were more common in this group (p = 0.008), and E-PASS scores were significantly elevated. Univariate logistic regression analysis revealed predictive value for both MAP and Comprehensive Risk Score (CRS) (OR: 5.8, 95% CI: 1.6–21.1, p = 0.008; OR: 18.77, 95% CI: 4.75–74.3, p = 0.000, respectively) for complications. However, multivariate analysis identified only CRS and EBL as independent predictors (OR: 13.5, 95% CI: 2.26–80.6, p = 0.001 and OR: 1.007, 95% CI: 1.001–1.010, p = 0.013, respectively). Conclusion: The MAP and E-PASS scores are both useful for predicting postoperative complications in patients undergoing LTA and LPA. However, the E-PASS score was found to have independent predictive value for postoperative complications.