Perioperative Outcome Prediction in Adrenalectomy: Why MAP Score Matters More Than BMI?

Authors : Enis Mert Yorulmaz, Kürşad Dönmez, Serkan Özcan, Osman Köse, Sacit Nuri Görgel, Esra Koç, Yiğit Akın

Pages : 702-709

Doi:10.35440/hutfd.1735253

View : 54 | Download : 147

Publication Date : 2025-12-25

Article Type : Research Paper

Abstract :Background: This study aimed to evaluate the clinical utility of the Mayo Adhesive probability (MAP) score in predicting surgical difficulty in adrenalectomy and to compare its performance with body mass index (BMI). Materials and Methods: We retrospectively analyzed 161 patients who underwent adrenalectomy for adrenal adenomas between 2015 and 2024. Patients were categorized into low (0-1) and high (2-5) MAP score groups, and into three BMI categories (<25, 25-30, >30 kg/m²). Operative time, estimated blood loss, hospital stay, and drain removal time were compared across groups. Results: Patients with high MAP scores had significantly longer operative times (140 vs. 100 minutes, p<0.001), greater blood loss (80 vs. 50 mL, p<0.001), longer hospital stays (8 vs. 7 days, p=0.010), and delayed drain removal (4 vs. 3 days, p<0.001). No significant differences were observed across BMI categories. Conclusions: The MAP score is a practical preoperative tool for risk stratification in adrenalectomy, providing more reliable prediction of surgical complexity than BMI.
Keywords : Adrenalektomi, Mayo Adezif olasılık skoru, Perioperatif sonuçlar, Vücut kitle indeksi

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