Sutureless jejuno-jejunal anastomosis in gastric cancer patients: a comparison with handsewn procedure in a single institute
- Resource Type
- Authors
- Giuseppe Izzo; Michele Grassia; Natale Di Martino; Gianmarco Reda; Giuseppe Esposito; Luigi Marano; Bartolomeo Braccio; Raffaele Porfidia; Michele Schettino; A Cosenza; Marianna Petrillo
- Source
- BMC Surgery, Vol 12, Iss Suppl 1, p S27 (2012)
BMC Surgery
- Subject
- Adult
Male
medicine.medical_specialty
Lymphoma
Anastomosis
medicine.medical_treatment
Operative Time
Jejuno-jejunal
Blood Loss, Surgical
lcsh:Surgery
Non-Hodgkin
Adenocarcinoma
Aged
Aged, 80 and over
Anastomosis, Roux-en-Y
Carcinoid Tumor
Female
Humans
Jejunum
Lymphoma, Non-Hodgkin
Middle Aged
Retrospective Studies
Stomach Neoplasms
Treatment Outcome
Wound Closure Techniques
Gastrectomy
Surgical Fixation Devices
Roux-en-Y
Suture (anatomy)
Blood loss
Surgical
medicine
80 and over
Blood Loss
business.industry
General surgery
Cancer
Retrospective cohort study
General Medicine
Perioperative
lcsh:RD1-811
medicine.disease
Surgery
business
Research Article
- Language
- English
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±32ml in the sutureless group and 182±23ml 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.