Prophylactic abdominal drainage versus no drainage after laparoscopic appendectomy for perforated acute appendicitis: a multicenter propensity score-weighted analysis - Takeaways - MDSpire
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Comparison of Prophylactic Abdominal Drainage and Non-Drainage Following Laparoscopic Appendectomy for Perforated Acute Appendicitis: A Multicenter Propensity Score-Weighted Study

  • By

  • Tomohiro Akutsu

  • Akira Endo

  • Yoshiaki Inoue

  • Hazuki Koguchi

  • Hirotada Muramatsu

  • Shuji Saito

  • Satoshi Okumura

  • Chisato Yonekawa

  • Asuka Fukuo

  • Shuichi Kobori

  • Masakazu Wakabayashi

  • Kei Ito

  • Hiroyuki Kasajima

  • Atsushi Tabeta

  • Ryohei Kosaki

  • Seiichiro Yamamoto

  • Takeshi Nakamura

  • Komei Kuge

  • Ryo Yamamoto

  • Fumitoshi Mizutani

  • Yuko Okishio

  • Takeshi Yokoyama

  • Haruka Shimoda

  • Hiraaki Okuzawa

  • Yasukazu Narita

  • Hiromasa Hoshi

  • Keisuke Suzuki

  • Koji Ito

  • Yasuhiro Otomo

  • Koji Morishita

  • September 9, 2026

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  • 1

    Acute appendicitis is a leading cause of emergency surgery, with laparoscopic appendectomy being the gold standard for uncomplicated cases.

  • 2

    The use of prophylactic abdominal drainage in laparoscopic appendectomy for perforated appendicitis remains controversial due to mixed evidence.

  • 3

    The DLAP study involved 21 institutions in Japan and aimed to evaluate the association of abdominal drainage with postoperative intra-abdominal abscess formation.

  • 4

    Data for the study were collected retrospectively, focusing on comprehensive clinical and intraoperative information from participating hospitals.

  • 5

    The primary endpoint of the study was the formation of intra-abdominal abscesses within 30 days postoperatively.

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