**1.4 MBP in laparoscopic surgery**

There is a rise in laparoscopic resection for colon cancer. The laparoscopic technique has brought a significant decrease in SSI [96]. However, data on MBP in laparoscopic surgery are not sufficient. Many studies have not confirmed the effectiveness of preoperative MBP before laparoscopic surgery. However, proponents of MBP still recommend MBP before laparoscopic surgery for easier manipulation of the bowel and intracorporeal stapling, and reduction of fecal contamination in case of spillage during bowel resection [97–99]. In a retrospective review, Zmora et al. compared the outcomes of 68 laparoscopic colectomies with MBP and 132 without MBP. They did not find any benefit in the complication rates in the MBP group [100]. Chan et al. also reported a comparable 4.1% and 3.8% wound infection rate, an anastomotic leak at 1% and 0.6% in the no-MBP and MBP groups, respectively [101]. However, using MBP might improve the operative space due to improved view resulting from decreased colonic distension following MBP [102]. The RCT conducted by Won et al. reported a better surgical view in patients with MBP undergoing laparoscopic colorectal surgery [103]. However, this benefit may not be available in the presence of obstructing tumor that causes a decrease in operative space because of the distension of the proximal bowel [103]. Overall, MBP is widely preferred before laparoscopic colorectal surgery, but the best option is better left to the individual surgeon's preference [104–106].
