Relationship between anastomotic technique, incisional hernia, and quality of life—the Minimally Invasive Right Colectomy Anastomosis STudy (MIRCAST) - Summary - MDSpire

Relationship between anastomotic technique, incisional hernia, and quality of life—the Minimally Invasive Right Colectomy Anastomosis STudy (MIRCAST)

  • By

  • Marcos Gómez Ruiz

  • On behalf of

  • MIRCAST study group (collaborative)

  • Juan García Cardo

  • Marcos Gómez Ruiz

  • Eloy Espin Basany

  • Mindaugas Tiskus

  • Ugo Pace

  • Tarja Pinta

  • Paolo Pietro Bianchi

  • Andrea Coratti

  • Roberto Persiani

  • Roberto Coppola

  • Nuria Truan Alonso

  • Franco Marinello

  • Miquel Kraft Carre

  • Mirjana Komljen

  • Shadi Andos

  • Paolo Delrio

  • Daniela Rega

  • Giuseppe Giuliani

  • Lucia Salvischiani

  • Alberto Biondi

  • Laura Lorenzon

  • Damiano Caputo

  • Vincenzo La Vaccara

  • Daniel Fernández Martinez

  • Carmen Cagigas Fernández

  • Lidia Cristobal Poch

  • Gina Lladó-Jordan

  • Camilo Palazuelos Calderón

  • Lucía Lavín Alconero

  • Vincenzo Vigorita

  • Raquel Sánchez Santos

  • Paula Fernández Rodriguez

  • Fernando Jimenez Escobar

  • Tamara Fernández Miguel

  • Vicente Portugal Porras

  • Alejandro Romero de Diego

  • Maria Ruíz Soriano

  • Beatriz de Andrés Asenjo

  • Dursun Bugra

  • Emre Balik

  • Emre Özoran

  • Andrea Muratore

  • Marcello Calabrò

  • Antonio La Terra

  • Ángel Reina Duarte

  • Pälvi Vento

  • Inna Lupina

  • David Moro-Valdezate

  • José Martín-Arévalo

  • Juan Ocaña Jiménez

  • Araceli Ballestero—Pérez

  • Ellen Van Eetvelde

  • Daniel Jacobs-Tulleneers-Thevissen

  • Irshad Shaikh

  • Dolly Dowsett

  • Esther Kreisler Moreno

  • Ana Gálvez Saldaña

  • Antonino Spinelli

  • Francesca Di Candido

  • Luis Miguel Jimenez Gomez

  • Elena Hurtado Caballero

  • Andreas Türler

  • Anna Krappitz

  • Luca Morelli

  • Annalisa Comandatore

  • Matteo Palmeri

  • Vicente Simó

  • Jorge Arredondo Chaves

  • Benno Mann

  • Gintautas Virakas

  • Jim Khan

  • Ismail Gögenur

  • Niclas Dohrn

  • Eduardo Ferrero Herrero

  • Eduardo Rubio González

  • Javier Sanchez Gonzalez

  • Ekta Choolani Bhojwani

  • Francesk Mulita

  • Vasileios Leivaditis

  • Goran Šantak

  • Matteo Frasson

  • Marta Nieto

  • Jakob Lykke

  • Niclas Dohrn

  • Mauro Garino

  • Chiara Marafante

  • Antonio Arroyo

  • Cristina Lillo-García

  • Carlos Placer Galan

  • José María Enriquez Navascués

  • Wanda Luisa Petz

  • Simona Borin

  • Philippe Rouanet

  • Christophe Taoum

  • Alain Valverde

  • Markus Winny

  • Çağrı Büyükkasap

  • Benoit Romain

  • Orestis Ioannidis

  • Giuseppe Spinoglio

  • David Jayne

  • Roger Gerjy

  • Sanjay Chaudhri

  • Luis Sánchez-Guillén

  • Alexis Ulrich

  • Tero Rautio

  • Jesus Bollo Rodriguez

  • Nuno Rama

  • Federico Perna

  • Eric Rullier

  • Fernando Mendoza

  • Thalia Petropoulou

  • Arto Turunen

  • Mauricio García Alonso

  • Anne Mattila

  • Julian Hance

  • Bertrand Trilling

  • Imma Prós Ribas

  • Adeline Germain

  • Kai Leong

  • December 8, 2025

  • 0 min

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Objective:

To analyze the impact of intracorporeal anastomosis (ICA) on postoperative complications, incisional hernias (IH), quality of life (QoL), and mid-term oncological outcomes in patients undergoing minimally invasive right colectomy, highlighting its significance in improving surgical outcomes.

Key Findings:
  • ICA is associated with lower rates of incisional hernias compared to ECA, with a statistically significant difference.
  • Postoperative complications significantly affect quality of life in colorectal surgery patients, as evidenced by patient-reported outcomes.
  • Patients undergoing ICA reported better quality of life outcomes, with specific improvements noted in EQ-5D and EORTC scores.
Interpretation:

The findings suggest that ICA may lead to improved postoperative recovery and quality of life, highlighting the importance of surgical technique in minimally invasive colectomy and its potential to influence long-term patient outcomes.

Limitations:
  • The study is observational and non-randomized, which may introduce bias, particularly in patient selection.
  • The long-term impact of anastomotic technique on QoL remains uncertain, necessitating further longitudinal studies.
Conclusion:

ICA may reduce the incidence of incisional hernias and enhance quality of life in patients undergoing minimally invasive right colectomy, warranting further research into surgical techniques and their long-term effects on patient outcomes.

Original Source(s)

Relationship between anastomotic technique, incisional hernia, and quality of life—the Minimally Invasive Right Colectomy Anastomosis STudy (MIRCAST)

  • by Marcos Gómez Ruiz, On behalf of, MIRCAST study group (collaborative), Juan García Cardo, Marcos Gómez Ruiz, Eloy Espin Basany, Mindaugas Tiskus, Ugo Pace, Tarja Pinta, Paolo Pietro Bianchi, Andrea Coratti, Roberto Persiani, Roberto Coppola, Nuria Truan Alonso, Franco Marinello, Miquel Kraft Carre, Mirjana Komljen, Shadi Andos, Paolo Delrio, Daniela Rega, Giuseppe Giuliani, Lucia Salvischiani, Alberto Biondi, Laura Lorenzon, Damiano Caputo, Vincenzo La Vaccara, Daniel Fernández Martinez, Carmen Cagigas Fernández, Lidia Cristobal Poch, Gina Lladó-Jordan, Camilo Palazuelos Calderón, Lucía Lavín Alconero, Vincenzo Vigorita, Raquel Sánchez Santos, Paula Fernández Rodriguez, Fernando Jimenez Escobar, Tamara Fernández Miguel, Vicente Portugal Porras, Alejandro Romero de Diego, Maria Ruíz Soriano, Beatriz de Andrés Asenjo, Dursun Bugra, Emre Balik, Emre Özoran, Andrea Muratore, Marcello Calabrò, Antonio La Terra, Ángel Reina Duarte, Pälvi Vento, Inna Lupina, David Moro-Valdezate, José Martín-Arévalo, Juan Ocaña Jiménez, Araceli Ballestero—Pérez, Ellen Van Eetvelde, Daniel Jacobs-Tulleneers-Thevissen, Irshad Shaikh, Dolly Dowsett, Esther Kreisler Moreno, Ana Gálvez Saldaña, Antonino Spinelli, Francesca Di Candido, Luis Miguel Jimenez Gomez, Elena Hurtado Caballero, Andreas Türler, Anna Krappitz, Luca Morelli, Annalisa Comandatore, Matteo Palmeri, Vicente Simó, Jorge Arredondo Chaves, Benno Mann, Gintautas Virakas, Jim Khan, Ismail Gögenur, Niclas Dohrn, Eduardo Ferrero Herrero, Eduardo Rubio González, Javier Sanchez Gonzalez, Ekta Choolani Bhojwani, Francesk Mulita, Vasileios Leivaditis, Goran Šantak, Matteo Frasson, Marta Nieto, Jakob Lykke, Niclas Dohrn, Mauro Garino, Chiara Marafante, Antonio Arroyo, Cristina Lillo-García, Carlos Placer Galan, José María Enriquez Navascués, Wanda Luisa Petz, Simona Borin, Philippe Rouanet, Christophe Taoum, Alain Valverde, Markus Winny, Çağrı Büyükkasap, Benoit Romain, Orestis Ioannidis, Giuseppe Spinoglio, David Jayne, Roger Gerjy, Sanjay Chaudhri, Luis Sánchez-Guillén, Alexis Ulrich, Tero Rautio, Jesus Bollo Rodriguez, Nuno Rama, Federico Perna, Eric Rullier, Fernando Mendoza, Thalia Petropoulou, Arto Turunen, Mauricio García Alonso, Anne Mattila, Julian Hance, Bertrand Trilling, Imma Prós Ribas, Adeline Germain, Kai Leong

  • December 8, 2025

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