{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T17:40:29Z","timestamp":1792431629511,"version":"4.5.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"vor","delay-in-days":89,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1007\/s10151-026-03393-7","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T19:53:07Z","timestamp":1784749987000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pfannenstiel versus periumbilical specimen extraction in laparoscopic low anterior resection: a comparative analysis of incisional hernia risk, postoperative recovery, and oncologic outcomes"],"prefix":"10.1007","volume":"30","author":[{"given":"Seung Yeon","family":"Kang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Hyun","family":"Shin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyeon Woo","family":"Bae","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoon Dae","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Soo","family":"Cho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyuk","family":"Hur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byung Soh","family":"Min","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kang Young","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Yoon","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"issue":"11","key":"3393_CR1","doi-asserted-by":"publisher","first-page":"1607","DOI":"10.1001\/jamaoncol.2022.4079","volume":"8","author":"WZ Jiang","year":"2022","unstructured":"Jiang WZ, Xu JM, Xing JD, Qiu HZ, Wang ZQ, Kang L et al (2022) Short-term outcomes of laparoscopy-assisted vs open surgery for patients with low rectal cancer: the LASRE randomized clinical trial. JAMA Oncol 8(11):1607\u20131615","journal-title":"JAMA Oncol"},{"issue":"2","key":"3393_CR2","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1097\/SLA.0000000000002329","volume":"268","author":"K Hida","year":"2018","unstructured":"Hida K, Okamura R, Sakai Y, Konishi T, Akagi T, Yamaguchi T et al (2018) Open versus laparoscopic surgery for advanced low rectal cancer: a large, multicenter, propensity score matched cohort study in Japan. Ann Surg 268(2):318\u2013324","journal-title":"Ann Surg"},{"issue":"5","key":"3393_CR3","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1097\/SLA.0b013e3181d973e4","volume":"251","author":"MK Diener","year":"2010","unstructured":"Diener MK, Voss S, Jensen K, Buchler MW, Seiler CM (2010) Elective midline laparotomy closure: the INLINE systematic review and meta-analysis. Ann Surg 251(5):843\u2013856","journal-title":"Ann Surg"},{"issue":"11","key":"3393_CR4","doi-asserted-by":"publisher","first-page":"3180","DOI":"10.1007\/s00464-012-2311-7","volume":"26","author":"L Lee","year":"2012","unstructured":"Lee L, Mappin-Kasirer B, Sender Liberman A, Stein B, Charlebois P, Vassiliou M et al (2012) High incidence of symptomatic incisional hernia after midline extraction in laparoscopic colon resection. Surg Endosc 26(11):3180\u20133185","journal-title":"Surg Endosc"},{"issue":"4","key":"3393_CR5","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1093\/gastro\/gou053","volume":"2","author":"MS Sajid","year":"2014","unstructured":"Sajid MS, Bhatti MI, Sains P, Baig MK (2014) Specimen retrieval approaches in patients undergoing laparoscopic colorectal resections: a literature-based review of published studies. Gastroenterol Rep (Oxf) 2(4):251\u2013261","journal-title":"Gastroenterol Rep (Oxf)"},{"issue":"12","key":"3393_CR6","doi-asserted-by":"publisher","first-page":"5083","DOI":"10.1007\/s00464-017-5573-2","volume":"31","author":"L Lee","year":"2017","unstructured":"Lee L, Abou-Khalil M, Liberman S, Boutros M, Fried GM, Feldman LS (2017) Incidence of incisional hernia in the specimen extraction site for laparoscopic colorectal surgery: systematic review and meta-analysis. Surg Endosc 31(12):5083\u20135093","journal-title":"Surg Endosc"},{"issue":"4","key":"3393_CR7","doi-asserted-by":"publisher","first-page":"1031","DOI":"10.1007\/s00464-010-1309-2","volume":"25","author":"A DeSouza","year":"2011","unstructured":"DeSouza A, Domajnko B, Park J, Marecik S, Prasad L, Abcarian H (2011) Incisional hernia, midline versus low transverse incision: what is the ideal incision for specimen extraction and hand-assisted laparoscopy? Surg Endosc 25(4):1031\u20131036","journal-title":"Surg Endosc"},{"issue":"8","key":"3393_CR8","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1097\/DCR.0000000000000632","volume":"59","author":"C Benlice","year":"2016","unstructured":"Benlice C, Stocchi L, Costedio MM, Gorgun E, Kessler H (2016) Impact of the specific extraction-site location on the risk of incisional hernia after laparoscopic colorectal resection. Dis Colon Rectum 59(8):743\u2013750","journal-title":"Dis Colon Rectum"},{"issue":"4","key":"3393_CR9","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1097\/00000658-199704000-00004","volume":"225","author":"RW Luijendijk","year":"1997","unstructured":"Luijendijk RW, Jeekel J, Storm RK, Schutte PJ, Hop WC, Drogendijk AC et al (1997) The low transverse Pfannenstiel incision and the prevalence of incisional hernia and nerve entrapment. Ann Surg 225(4):365\u2013369","journal-title":"Ann Surg"},{"issue":"12","key":"3393_CR10","doi-asserted-by":"publisher","first-page":"4574","DOI":"10.1007\/s00464-013-3126-x","volume":"27","author":"J Drosdeck","year":"2013","unstructured":"Drosdeck J, Harzman A, Suzo A, Arnold M, Abdel-Rasoul M, Husain S (2013) Multivariate analysis of risk factors for surgical site infection after laparoscopic colorectal surgery. Surg Endosc 27(12):4574\u20134580","journal-title":"Surg Endosc"},{"issue":"8","key":"3393_CR11","doi-asserted-by":"publisher","first-page":"2697","DOI":"10.3390\/jcm14082697","volume":"14","author":"Y Takeda","year":"2025","unstructured":"Takeda Y, Goto K, Kamada T, Abe T, Nakano T, Takano Y et al (2025) Postoperative pain and incisional hernia of specimen extraction sites for minimally invasive rectal cancer surgery: comparison of periumbilical midline incision versus pfannenstiel incision. J Clin Med 14(8):2697","journal-title":"J Clin Med"},{"issue":"4","key":"3393_CR12","doi-asserted-by":"publisher","first-page":"287","DOI":"10.3393\/ac.2024.00682.0097","volume":"41","author":"FS Lucido","year":"2025","unstructured":"Lucido FS, Nesta G, Brusciano L, Gambardella C, Pizza F, Scognamiglio G et al (2025) Incisional hernia risk in intracorporeal anastomosis with Pfannenstiel incision versus extracorporeal anastomosis with midline incision for laparoscopic right hemicolectomy: a multicenter comparison. Ann Coloproctol 41(4):287\u2013292","journal-title":"Ann Coloproctol"},{"issue":"5","key":"3393_CR13","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1097\/DCR.0000000000001612","volume":"63","author":"M Widmar","year":"2020","unstructured":"Widmar M, Aggarwal P, Keskin M, Strombom PD, Patil S, Smith JJ et al (2020) Intracorporeal anastomoses in minimally invasive right colectomies are associated with fewer incisional hernias and shorter length of stay. Dis Colon Rectum 63(5):685\u2013692","journal-title":"Dis Colon Rectum"},{"issue":"2","key":"3393_CR14","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1016\/j.amjsurg.2009.08.044","volume":"200","author":"OH Llaguna","year":"2010","unstructured":"Llaguna OH, Avgerinos DV, Lugo JZ, Matatov T, Abbadessa B, Martz JE et al (2010) Incidence and risk factors for the development of incisional hernia following elective laparoscopic versus open colon resections. Am J Surg 200(2):265\u2013269","journal-title":"Am J Surg"},{"issue":"4","key":"3393_CR15","doi-asserted-by":"publisher","first-page":"916","DOI":"10.1007\/s00268-021-06319-6","volume":"46","author":"CH Kim","year":"2022","unstructured":"Kim CH, Lee J, Lee SY, Heo SH, Jeong YY, Kim HR (2022) Periumbilical transverse incision for reducing incisional hernia in laparoscopic colon cancer surgery. World J Surg 46(4):916\u2013924","journal-title":"World J Surg"},{"issue":"1","key":"3393_CR16","doi-asserted-by":"publisher","first-page":"41","DOI":"10.3857\/roj.2013.31.1.41","volume":"31","author":"JS Chang","year":"2013","unstructured":"Chang JS, Yoon HI, Cha HJ, Chung Y, Cho Y, Keum KC et al (2013) Bladder filling variations during concurrent chemotherapy and pelvic radiotherapy in rectal cancer patients: early experience of bladder volume assessment using ultrasound scanner. Radiat Oncol J 31(1):41\u201347","journal-title":"Radiat Oncol J"},{"issue":"3","key":"3393_CR17","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1016\/j.radonc.2010.02.003","volume":"95","author":"SJ Shin","year":"2010","unstructured":"Shin SJ, Kim NK, Keum KC, Kim HG, Im JS, Choi HJ et al (2010) Phase II study of preoperative chemoradiotherapy (CRT) with irinotecan plus S-1 in locally advanced rectal cancer. Radiother Oncol 95(3):303\u2013307","journal-title":"Radiother Oncol"},{"issue":"3","key":"3393_CR18","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1007\/s00464-009-0656-3","volume":"24","author":"YA Park","year":"2010","unstructured":"Park YA, Kim JM, Kim SA, Min BS, Kim NK, Sohn SK et al (2010) Totally robotic surgery for rectal cancer: from splenic flexure to pelvic floor in one setup. Surg Endosc 24(3):715\u2013720","journal-title":"Surg Endosc"},{"issue":"3","key":"3393_CR19","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1016\/j.suronc.2015.06.012","volume":"24","author":"NK Kim","year":"2015","unstructured":"Kim NK, Kim YW, Cho MS (2015) Total mesorectal excision for rectal cancer with emphasis on pelvic autonomic nerve preservation: expert technical tips for robotic surgery. Surg Oncol 24(3):172\u2013180","journal-title":"Surg Oncol"},{"issue":"4","key":"3393_CR20","doi-asserted-by":"publisher","first-page":"359","DOI":"10.6004\/jnccn.2018.0021","volume":"16","author":"AB Benson","year":"2018","unstructured":"Benson AB, Venook AP, Al-Hawary MM, Cederquist L, Chen YJ, Ciombor KK et al (2018) NCCN guidelines insights: colon cancer, version 2.2018. J Natl Compr Canc Netw 16(4):359\u2013369","journal-title":"J Natl Compr Canc Netw"},{"issue":"12","key":"3393_CR21","doi-asserted-by":"publisher","first-page":"1239","DOI":"10.1093\/bjs\/znac302","volume":"109","author":"EB Deerenberg","year":"2022","unstructured":"Deerenberg EB, Henriksen NA, Antoniou GA, Antoniou SA, Bramer WM, Fischer JP et al (2022) Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies. Br J Surg 109(12):1239\u20131250","journal-title":"Br J Surg"},{"issue":"3","key":"3393_CR22","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/j.surg.2009.10.012","volume":"147","author":"NN Rahbari","year":"2010","unstructured":"Rahbari NN, Weitz J, Hohenberger W, Heald RJ, Moran B, Ulrich A et al (2010) Definition and grading of anastomotic leakage following anterior resection of the rectum: a proposal by the International Study Group of Rectal Cancer. Surgery 147(3):339\u2013351","journal-title":"Surgery"},{"issue":"1","key":"3393_CR23","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1097\/SLA.0000000000002615","volume":"268","author":"L Lee","year":"2018","unstructured":"Lee L, Mata J, Droeser RA, Kaneva P, Liberman S, Charlebois P et al (2018) Incisional hernia after midline versus transverse specimen extraction incision: a randomized trial in patients undergoing laparoscopic colectomy. Ann Surg 268(1):41\u201347","journal-title":"Ann Surg"},{"issue":"4","key":"3393_CR24","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1111\/codi.16455","volume":"25","author":"FPJ den Hartog","year":"2023","unstructured":"den Hartog FPJ, van Egmond S, Poelman MM, Menon AG, Kleinrensink GJ, Lange JF et al (2023) The incidence of extraction site incisional hernia after minimally invasive colorectal surgery: a systematic review and meta-analysis. Colorectal Dis 25(4):586\u2013599","journal-title":"Colorectal Dis"},{"issue":"1","key":"3393_CR25","first-page":"1","volume":"19","author":"J Guo","year":"2024","unstructured":"Guo J, Yang D, Zhang B, Xu X, Yang Z, Zhao Y et al (2024) The safety of Pfannenstiel incision for specimen extraction in laparoscopic colorectal surgery for colorectal cancer: a systematic review and meta-analysis. Wideochir Inne Tech Maloinwazyjne 19(1):1\u201310","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"issue":"7","key":"3393_CR26","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.1007\/s11605-011-1500-3","volume":"15","author":"TL Beard","year":"2011","unstructured":"Beard TL, Leslie JB, Nemeth J (2011) The opioid component of delayed gastrointestinal recovery after bowel resection. J Gastrointest Surg 15(7):1259\u20131268","journal-title":"J Gastrointest Surg"},{"issue":"7","key":"3393_CR27","doi-asserted-by":"publisher","first-page":"3471","DOI":"10.1007\/s00464-020-07794-z","volume":"35","author":"H Fukuoka","year":"2021","unstructured":"Fukuoka H, Watanabe J, Masanori O, Suwa Y, Suwa H, Ishibe A et al (2021) The risk factors for incisional hernia after laparoscopic colorectal surgery: a multicenter retrospective study at Yokohama Clinical Oncology Group. Surg Endosc 35(7):3471\u20133478","journal-title":"Surg Endosc"},{"issue":"11","key":"3393_CR28","doi-asserted-by":"publisher","first-page":"1439","DOI":"10.1002\/bjs.9600","volume":"101","author":"K Itatsu","year":"2014","unstructured":"Itatsu K, Yokoyama Y, Sugawara G, Kubota H, Tojima Y, Kurumiya Y et al (2014) Incidence of and risk factors for incisional hernia after abdominal surgery. Br J Surg 101(11):1439\u20131447","journal-title":"Br J Surg"},{"issue":"4","key":"3393_CR29","doi-asserted-by":"publisher","first-page":"861","DOI":"10.1007\/s10029-023-02825-9","volume":"27","author":"P Ortega-Deballon","year":"2023","unstructured":"Ortega-Deballon P, Renard Y, de Launay J, Lafon T, Roset Q, Passot G (2023) Incidence, risk factors, and burden of incisional hernia repair after abdominal surgery in France: a nationwide study. Hernia 27(4):861\u2013871","journal-title":"Hernia"}],"container-title":["Techniques in Coloproctology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10151-026-03393-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-026-03393-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-026-03393-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T17:02:59Z","timestamp":1792429379000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10151-026-03393-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,22]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["3393"],"URL":"https:\/\/doi.org\/10.1007\/s10151-026-03393-7","relation":{},"ISSN":["1123-6337","1128-045X"],"issn-type":[{"value":"1123-6337","type":"print"},{"value":"1128-045X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,22]]},"assertion":[{"value":"14 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This retrospective observational study was approved by the Institutional Review Board of Severance Hospital, Yonsei University College of Medicine (IRB no. 4-2025-0595), and the requirement for informed consent was waived because of the retrospective nature of the analysis. The study was conducted in accordance with the ethical standards of the institutional research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","label":"Ethical approval and informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"156"}}