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First page of Predictive Value of MAP and E-PASS Scores for Postoperative Complications Following Laparoscopic Total and Partial Adrenalectomy

Introduction: 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.

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Research Article
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S. Karger AG, Basel
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2025
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