Clinical analysis of MAP in transabdominal laparoscopic radical nephrectomy of renal cell carcinoma
10.3969/j.issn.1009-8291.2023.08.002
- VernacularTitle:MAP评分对经腹腹腔镜根治性肾切除术手术难度的预测价值
- Author:
Kun ZHANG
1
;
Xueqin LI
2
;
Juan LIU
3
;
Bing ZHONG
1
;
Gongcheng WANG
1
Author Information
1. Department of Urology, The Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University, Huaian 223300
2. Department of General Practice, The Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University, Huaian 223300
3. Department of Geriatric Endocrinology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, China
- Publication Type:Journal Article
- Keywords:
Mayo adhesive probability;
laparoscope;
radical nephrectomy;
renal cell carcinoma
- From:
Journal of Modern Urology
2023;28(8):649-653
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To evaluate the significance of Mayo adhesive probability (MAP) in predicting surgical difficulty and postoperative recovery in patients with renal cell carcinoma (RCC) undergoing laparoscopic radical nephrectomy (LRN). 【Methods】 The clinical data of 168 RCC patients who received transabdominal LRN during Jan.2017 and Dec.2020 were retrospectively analyzed. According to MAP, the patients were divided into low MAP group (n=100) and high MAP group (n=68). The differences in perioperative clinical data were compared between the two groups. 【Results】 Compared with low MAP group, the high MAP group had longer operation time (P<0.001), more intraoperative blood loss (P<0.001), higher Clavien-Dindo grade complications (P=0.008), longer hospital stay (P=0.003), higher levels of c-reactive protein (P=0.030) and IL-6 (P=0.009), lower levels of albumin (P<0.001) and prealbumin (P=0.020). 【Conclusion】 MAP can assess the risk of prolonged operation time, increased bleeding during transabdominal LRN, and postoperative recovery, thus guiding the preoperative planning.
