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Comparative Study
. 2012;12 Suppl 1(Suppl 1):S27.
doi: 10.1186/1471-2482-12-S1-S27. Epub 2012 Nov 15.

Sutureless jejuno-jejunal anastomosis in gastric cancer patients: a comparison with handsewn procedure in a single institute

Luigi Marano  1 , Bartolomeo Braccio, Michele Schettino, Giuseppe Izzo, Angelo Cosenza, Michele Grassia, Raffaele Porfidia, Gianmarco Reda, Marianna Petrillo, Giuseppe Esposito, Natale Di Martino
Affiliations
Comparative Study

Sutureless jejuno-jejunal anastomosis in gastric cancer patients: a comparison with handsewn procedure in a single institute

Luigi Marano et al. BMC Surg. 2012.

Abstract

Background: The biofragmentable anastomotic ring has been used to this day for various types of anastomosis in the gastrointestinal tract, but it has not yet achieved widespread acceptance among surgeons. The purpose of this retrospective study is to compare surgical outcomes of sutureless with suture method of Roux-and-Y jejunojejunostomy in patients with gastric cancer.

Methods: Two groups of patients were obtained based on anastomosis technique (sutureless group versus hand sewn group): perioperative outcomes were recorded for every patient.

Results: The mean time spent to complete a sutureless anastomosis was 11 ± 4 min, whereas the time spent to perform hand sewn anastomosis was 23 ± 7 min. Estimated intraoperative blood loss was 178 ± 32 ml in the sutureless group and 182 ± 23 ml in the suture-method group with no significant differences. No complications were registered related to enteroanastomosis. Intraoperative mortality was none for both groups.

Conclusions: The Biofragmentable Anastomotic Ring offers a safe and time-saving method for the jejuno-jejunal anastomosis in gastric cancer surgery, and for this purpose the ring has been approved as a standard method in our clinic. Nevertheless currently there are few studies on upper gastrointestinal sutureless anastomoses and this could be the reason for the low uptake of this device.

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Figures

Figure 1
Figure 1
Introduction of 28mm BAR into the proximal jejunum
Figure 2
Figure 2
The other side of the BAR is inserted into the end jejunal wall
Figure 3
Figure 3
The second purse-string is tied
Figure 4
Figure 4
The BAR is snapped forming a serosa-to-serosa inverted sutureless anastomosis
See this image and copyright information in PMC

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