End-to-end stapled technique for Kono-S anastomosis

Tech Coloproctol. 2023 Dec;27(12):1383-1386. doi: 10.1007/s10151-023-02802-5. Epub 2023 Jun 7.

E D Adams¹, K N Zaghiyan^{2

3}, P R Fleshner^{2

3}

¹ Department of General Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, North Tower, Suite 8215, Los Angeles, CA, 90048, USA. Evan.Adams@cshs.org.
² Department of General Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, North Tower, Suite 8215, Los Angeles, CA, 90048, USA.
³ Division of Colorectal Surgery, Cedars-Sinai Medical Center, Los Angeles, USA.

Abstract

Purpose: Our aim was to develop a Kono-S anastomotic technique using surgical staplers.

Methods: Two patients underwent stapled Kono-S anastomosis, one via abdominal and one transanal approach.

Results: The approach for an abdominal and transanal stapled Kono-S anastomosis is detailed.

Conclusion: The Kono-S anastomosis can be safely configured using common surgical staplers.

Keywords: Anastomosis; Crohn’s disease; Kono-S; Staple; Supporting column.