Abstract: Objective To investigate the glucose and lipid metabolism,Mayo adhesion probability (MAP) score and perirenal function in patients with laparoscopic partial nephrectomy The relationship between fat adhesion and prognosis.Methods A total of 84 patients who underwent laparoscopic resection in our hospital from December 2019 to December 2022 were retrospectively selected as the research subjects.According to whether perirenal fatty adhesion (APF) occurred during the operation,the patients were divided into APF group (44 cases) and non-APF group (40 cases).The results of 1-year follow-up were divided into good prognosis group (68 cases) and poor prognosis group (16 cases) The patient’s gender,age,body mass index (BMI),fasting blood glucose (FPG),serum triglyceride (TG),high-density lipoprotein cholesterol (HDL-C) and MAP score were recorded before surgery.All patients underwent laparoscopic partial nephrectomy,and the receiver operating curve (ROC) was used to analyze the evaluation value of glucose and lipid metabolism and MAP score for APF.Multivariate Logistic regression was used to analyze the influencing factors of LPN.Results There were statistically significant differences in gender,age,BMI,APF,FPG,TG,HDL-C and MAP scores between the APF group and the non-APF group (P<0.05);ROC curve analysis showed that FPG,TG,HDL-C and MAP Scoring APF has certain evaluation value,and the overall performance of the combined evaluation of the four was better.There were significant differences in gender,age,BMI,FPG,TG,HDL-C and MAP scores between the good prognosis group and the poor prognosis group (P<0.05).Multivariate Logistic regression analysis showed that FPG,TG,HDL-C and MAP scores,APF were all risk factors for ineffective LPN surgery.Conclusion FPG,TG,HDL-C and MAP scores have a certain value for APF evaluation,with high sensitivity and specificity,and the overall efficiency of the combined evaluation is better.FPG,TG,HDL-C and MAP scores were all risk factors for ineffective LPN surgery.

Key words: laparoscopic partial nephrectomy, glucose and lipid metabolism, MAP score, perirenal fat adhesion, surgical efficacy