Can Mayo Adhesive Probability Score Can Predict an Adherent Perinephric Fat? Analysis in Japanese Healthy Donor for Transplantation Underwent Laparoscopic Donor Nephrectomy
Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan
Meeting: 2020 American Transplant Congress
Abstract number: D-008
Keywords: Laparoscopy, Living donor, Obesity
Session Information
Session Name: Poster Session D: Kidney Living Donor: Other
Date: Saturday, May 30, 2020
Session Time: 3:15pm-4:00pm
Presentation Time: 3:30pm-4:00pm
Location: Virtual
*Purpose: This study is aimed to evaluate Mayo Adhesive Probability (MAP) score as a predictor of adherent perinephric fat (APF) by analyzing a cohort of Japanese healthy donor underwent laparoscopic donor nephrectomy (LDN) for renal transplantation.
*Methods: A total of 71 healthy Japanese patients underwent LDN were evaluated in this study. The presence of APF was determined by recognition of adhesions between the renal capsule and perinephric adipose tissue from the intraoperative findings. Patients backgrounds: age, gender, body mass index, smoking and visceral fat volume, MAP score obtained from preoperative CT imaging were evaluated according to the presence of APF. The predictors of APF were examined using logistic regression analyses.
*Results: APF was observed in 19 (27%) patients. We observed APF in 2.4% of patients with a MAP score of 0, 57.1% with a score of 1, 50.0% with a score of 2, 50.0% with a score of 3, 85.7% with a score of 4. In univariate analysis, male gender, smoking history, visceral fat volume and higher MAP score showed significant differences between APF and no APF. In multivariate analysis, only higher MAP score was the independent predictors of APF (OR, 6.08; 95% CI, 0.11-34.0; p=0.039).
*Conclusions: MAP score can predict APF even in healthy kidney.
To cite this abstract in AMA style:
Noda T, Miyauchi Y, Koyama K, Sawada Y, Nishimura K, Fukumoto T, Miura N, Kikugawa T, Saika T. Can Mayo Adhesive Probability Score Can Predict an Adherent Perinephric Fat? Analysis in Japanese Healthy Donor for Transplantation Underwent Laparoscopic Donor Nephrectomy [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/can-mayo-adhesive-probability-score-can-predict-an-adherent-perinephric-fat-analysis-in-japanese-healthy-donor-for-transplantation-underwent-laparoscopic-donor-nephrectomy/. Accessed January 18, 2022.« Back to 2020 American Transplant Congress