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End-to-end stapled technique for Kono-S anastomosis
E D Adams1, K N Zaghiyan2,3, P R Fleshner2,3
1Department of General Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, North Tower, Suite 8215, Los Angeles, CA, 90048, USA. Evan.Adams@cshs.org.
Techniques in Coloproctology
|June 7, 2023
Summary
This study details a new Kono-S anastomosis technique using surgical staplers. The stapled Kono-S anastomosis was safely performed in two patients via abdominal and transanal approaches.
Area of Science:
- Surgical innovation
- Gastrointestinal surgery
Background:
- The Kono-S anastomosis is a specific surgical technique.
- Developing minimally invasive and efficient anastomotic methods is crucial in gastrointestinal surgery.
Purpose of the Study:
- To develop and describe a Kono-S anastomotic technique utilizing standard surgical staplers.
Main Methods:
- A novel stapled Kono-S anastomosis technique was developed.
- The technique was applied in two patients, one with an abdominal approach and one with a transanal approach.
Main Results:
- The stapled Kono-S anastomosis was successfully performed in both cases.
- The specific approaches for abdominal and transanal stapled Kono-S anastomosis were detailed.
Conclusions:
- The Kono-S anastomosis can be safely and effectively created using common surgical stapling devices.
- This technique offers a viable option for gastrointestinal reconstruction.

