This article is part of the supplement: Selected articles from the XXV National Congress of the Italian Society of Geriatric Surgery

Open Access Research article

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

Luigi Marano*, Bartolomeo Braccio, Michele Schettino, Giuseppe Izzo, Angelo Cosenza, Michele Grassia, Raffaele Porfidia, Gianmarco Reda, Marianna Petrillo, Giuseppe Esposito and Natale Di Martino

Author Affiliations

Institution: VIII General and Gastrointestinal Surgery (Chief Prof. N. Di Martino) - School of Medicine - Second University of Naples - Piazza Miraglia 2, 80138 Naples, Italy

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BMC Surgery 2012, 12(Suppl 1):S27  doi:10.1186/1471-2482-12-S1-S27

Published: 15 November 2012



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.


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


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.


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.