Evidence map›Paper›PMID 42154250›Full record

ArticleSurgery today2026

Safety and utility of the modified Pfannenstiel incision in laparoscopic and robot-assisted colorectal surgery.

Shintaro Hashimoto, Keisuke Noda, Tetsuro Tominaga, Yuma Takamura, Hiroki Katayama, Mariko Yamashita, Hiroshi Maruta, Kazuki Motoyama, Takashi Nonaka, Keitaro Matsumoto

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Shintaro HashimotoDivision of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852- 8501, Japan.
Keisuke NodaDivision of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852- 8501, Japan.
Tetsuro TominagaDivision of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852- 8501, Japan.
Yuma TakamuraDivision of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852- 8501, Japan.
Hiroki KatayamaDivision of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852- 8501, Japan.
Mariko YamashitaDivision of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852- 8501, Japan.
Hiroshi MarutaDivision of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852- 8501, Japan.
Kazuki MotoyamaDivision of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852- 8501, Japan.
Takashi NonakaDivision of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852- 8501, Japan. tnonaka@nagasaki-u.ac.jp.
Keitaro MatsumotoDivision of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852- 8501, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe modified the Pfannenstiel (PS) incision by relocating it to the left lower abdomen, to combine the advantages of the PS incision with those of intracorporeal anastomosis in colorectal cancer surgery. We conducted this study to evaluate the safety and utility of our modified Pfannenstiel incision (mPS) incision in laparoscopic and robotic surgery.

methodsWe reviewed, retrospectively, 357 colorectal cancer patients who underwent laparoscopic and robotic surgery between 2022 and 2025. The patients were divided into two groups based on the surgical incision used: those with the mPS incision (mPS group, n = 92) and those with a median incision (MED group, n = 265). After propensity score matching, 71 patients were matched in each group, and their clinicopathological and surgical features were compared.

resultsAfter matching, the rates of robotic surgery (90.0% vs. 40.0%, p < 0.001) and intracorporeal anastomosis were higher (61.1% vs. 25.6%, p < 0.001), while the rates of wound infection (1.1% vs. 8.9%, p = 0.034) and incisional hernia were lower (2.2% vs. 22.2%, p < 0.001) in the mPS group than in the MED group.

conclusionsThe mPS incision resulted in favorable outcomes, comparable to those previously reported for conventional PS. Thus, the mPS is considered a useful incision method for intracorporeal anastomosis in robotic surgery.

Indexed as

Colorectal NeoplasmsLaparoscopyRobotic Surgical ProceduresAgedAnastomosis, SurgicalColorectal Surgical ProceduresFemaleHumansIncisional HerniaMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSurgical Wound InfectionColorectal cancerIncisional herniaIntracorporeal anastomosisModified Pfannenstiel incisionSurgical site infection

Identifiers

PMID42154250

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.