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Journals / Harran Üniversitesi Tıp Fakültesi Dergisi / 2025 / Cilt: 22 Sayı: 4

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

Adrenalektomide Perioperatif Sonuçların Öngörülmesi: Neden MAP Skoru BMI’dan Daha Önemlidir?

Enis Mert Yorulmaz(İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-2109-2015
Kürşad Dönmez(İzmir Katip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi)0000-0003-3581-3338
Serkan Özcan(İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-2459-139X
Osman Köse(İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-4912-2597
Sacit Nuri Görgel(İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-7628-1249
Esra Koç(İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-3620-1261
Yiğit Akın(İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-7627-3476
Pages
702–709
Publication Date
2025-12-25
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: The MAP score is a practical preoperative tool for risk stratification in adrenalectomy, providing more reliable prediction of surgical complexity than BMI.

📌 3 Key Takeaways

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Objective & Hypothesis: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).
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Key Findings & Data:Materials and Methods: We retrospectively analyzed 161 patients who underwent adrenalectomy for adrenal adenomas between 2015 and 2024.
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Conclusion & Impact:Conclusions: The MAP score is a practical preoperative tool for risk stratification in adrenalectomy, providing more reliable prediction of surgical complexity than BMI.
🔬Design:Araştırma Makalesi
📍Scope:2015 Verileri
⚙️Variables:Adrenalektomi · Mayo Adezif olasılık skoru · Perioperatif sonuçlar

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.

Özet

Amaç: Bu çalışma, adrenalektomide cerrahi zorluğu öngörmede Mayo Adezif olasılık (MAP) skorunun klinik yararını değerlendirmeyi ve performansını vücut kitle indeksi (VKİ) ile karşılaştırmayı amaçlamıştır. Materyal ve metod: 2015-2024 yılları arasında adrenal adenom nedeniyle adrenalektomi uygulanan 161 hasta retrospektif olarak analiz edildi. Hastalar preoperatif MAP skoruna göre düşük (0-1) ve yüksek (2-5) gruplara, VKİ değerine göre ise üç kategoriye (<25, 25-30, >30 kg/m²) ayrıldı. Operasyon süresi, tahmini kan kaybı,hastanede yatış süresi ve dren çekilme zamanı gruplar arasındakarşılaştırıldı. Bulgular: Yüksek MAP skoruna sahip hastalarda operasyonsüresi (140 vs. 100 dakika, p<0,001), kan kaybı (80 vs. 50 mL,p<0,001), hastanede yatış süresi (8 vs. 7 gün, p=0,010) ve drençekilme zamanı (4 vs. 3 gün, p<0,001) anlamlı olarak dahafazlaydı. VKİ kategorileri arasında ise bu parametreler açısındananlamlı fark saptanmadı. Sonuç: MAP skoru, adrenalektomide cerrahi zorluklarınöngörülmesinde pratik bir preoperatif risk sınıflama aracı olup,cerrahi karmaşıklığın öngörülmesinde VKİ’ye kıyasla dahagüvenilir sonuçlar sağlamaktadır.

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Cite This Article

Yorulmaz, E. M., Dönmez, K., Özcan, S., Köse, O., Görgel, S. N., Koç, E., Akın, Y. (2025). Perioperative Outcome Prediction in Adrenalectomy: Why MAP Score Matters More Than BMI?. Harran Üniversitesi Tıp Fakültesi Dergisi, Cilt: 22 Sayı: 4, 702–709. https://doi.org/10.35440/hutfd.1735253

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