Which incision is utilized for upper abdominal surgery including oesophageal and pancreatic operations?

The rooftop incision, also known as the rooftop or inverted T incision, is specifically designed for upper abdominal surgeries, particularly those involving the oesophagus and pancreas. Its distinctive shape not only provides adequate exposure of the upper abdominal cavity but also facilitates access to various organs in this region. This incision allows surgeons to navigate complex anatomical structures and ensure comprehensive visibility during operations.

In contrast, other incisions have more specific applications. The Rutherford Morrison incision is commonly used in the context of accessing the retroperitoneal space, while Kocher's incision is specifically tailored for accessing the gallbladder and parts of the duodenum. The midline incision, while versatile and often used for a wide range of abdominal surgeries, may not provide the optimal exposure necessary for the unique demands of oesophageal and pancreatic procedures. This highlights the importance of choosing the correct incision based on the surgical context and the anatomical requirements of the procedure being performed.