Laparoscopic surgery “key-hole surgery” is a
preferable surgical intervention nowadays and this is
attributed to the recent advances over the past decades
that allows the surgeons to perform complex interventions through this minimally invasive technique. Owing
to its benefits when compared to traditional open surgery, laparoscopic colonic resections has become a corner-stone in management of colon cancer. In order to
maintain the continuity of GI tract by performing bowel
anastomosis and to extract the resected specimen, an
incision (mini-laparotomy) is essential to achieve this.
Various incisions has been proposed and used in the current practice as periumbilical incision, Pfannenstiel incision, stoma site extractions incision (SSE) and natural
orifice specimen extraction (NOSE). These incisions have
different incidences of development of incisional hernias
and surgical site infections (SSI). In this article review,
we included different specimen harvest incisions after
laparoscopic colonic resections and we recommend the
use of Pfannenstiel incision as the it has showed to have
the lowest risk of development of incisional hernia.