The Mayo Adhesive Probability score can help predict intra- and postoperative complications in patients undergoing laparoscopic donor nephrectomy
| Autor: | Xavier Matillon, Lionel Badet, Q. Franquet, Thomas Jouve, Ricardo Codas-Duarte, Sebastien Crouzet, Gaelle Fiard, Hakim Fassi-Fehri, D. Poncet, Lionel Rostaing, Jean-Luc Descotes, Nicolas Terrier, Paolo Malvezzi, Jean-Jacques Rambeaud, Johan Noble, Jean-Alexandre Long |
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| Přispěvatelé: | Centre Hospitalier Universitaire [Grenoble] (CHU), Service d'urologie [CHU Grenoble], Université Grenoble Alpes (UGA), Hôpital Edouard Herriot [CHU - HCL], Hospices Civils de Lyon (HCL), Gestes Medico-chirurgicaux Assistés par Ordinateur (TIMC-GMCAO), Translational Innovation in Medicine and Complexity / Recherche Translationnelle et Innovation en Médecine et Complexité - UMR 5525 (TIMC ), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP ), Université Grenoble Alpes (UGA)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP ) |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Nephrology medicine.medical_specialty Multivariate analysis Urology medicine.medical_treatment laparoscopy 030232 urology & nephrology living donor [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery Living donor Adipose capsule of kidney 03 medical and health sciences 0302 clinical medicine Internal medicine nephrectomy postoperative complications medicine Humans In patient intraoperative complications Laparoscopy ComputingMilieux_MISCELLANEOUS Retrospective Studies medicine.diagnostic_test business.industry Middle Aged Nephrectomy 3. Good health Surgery Dissection 030220 oncology & carcinogenesis Tissue and Organ Harvesting Female business |
| Zdroj: | World Journal of Urology World Journal of Urology, Springer Verlag, In press, ⟨10.1007/s00345-020-03513-4⟩ |
| ISSN: | 1433-8726 0724-4983 |
| DOI: | 10.1007/s00345-020-03513-4 |
| Popis: | 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. We retrospectively reviewed the imaging, clinical, and follow-up data of 452 kidney donors who underwent laparoscopic donor nephrectomy in two academic centers. 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 |
| Databáze: | OpenAIRE |
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