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Received: 12 February 2021    Revised: 3 March 2021    Accepted: 9 March 2021

DOI: 10.1111/codi.15637
CORRESPONDENCE

Robotic intracorporeal Kono-­S anastomosis –­a video vignette

Dear Editor, E T H I C A L S TAT E M E N T

The Kono-­S anastomosis is a novel hand-­s ewn functional The study was deemed exempt by the Newton Wellesley Hospital
end-­to-­e nd anastomosis with emerging data supporting its use Institutional Review Board.
to reduce recurrence of Crohn’s disease. Given its technical com-
plexity, it is performed using an open, extracorporeal technique. AU T H O R C O N T R I B U T I O N
This video vignette (Video S1 in the Supporting Information) All authors contributed significantly to this manuscript and associ-
illustrates a robotic intracorporeal Kono-­S anastomosis, which ated video to meet criteria for authorship.
limits the disadvantages associated with an open, extracorporeal
anastomosis. For example, the intracorporeal anastomosis allows DATA AVA I L A B I L I T Y S TAT E M E N T
for less tension on a friable and inflamed mesentery, a smaller in- No data are available.
cision for specimen extraction and use of a Pfannenstiel incision
to minimize the risk of hernia and optimize cosmesis. The patient Paul Cavallaro1
described is a 38-­year-­o ld man with active Crohn’s disease of the Robert Goldstone2
terminal ileum refractory to biological therapy. Given his ongoing Rocco Ricciardi3
symptoms, resection of the diseased segment was planned. The Todd Francone2
ileocaecectomy was performed in the standard robot-­a ssisted
1
fashion using the DaVinci Xi platform with a medial to lateral Department of General Surgery, Massachusetts General
mobilization. Preservation of the mesenteric vasculature adja- Hospital, Boston, MA, USA
cent to the bowel was stressed when resecting the specimen. Email: pcavallaro@mgh.harvard.edu
2
An ileocolonic anastomosis was created using an intracorpo- Section of Colon and Rectal Surgery, Newton Wellesley
real, hand-­s ewn Kono-­S technique. The operation was uncom- Hospital, Newton, MA, USA
3
plicated and the patient’s postoperative course was uneventful. Section of Colon and Rectal Surgery, Massachusetts General
He was discharged on postoperative day 5 with plans to resume Hospital, Boston, MA, USA
anti-­t umour necrosis factor-­b ased therapy in the postoperative
setting. S U P P O R T I N G I N FO R M AT I O N
Additional supporting information may be found online in the
C O N FL I C T O F I N T E R E S T S Supporting Information section.
The authors have no conflicts of interests to report.

F U N D I N G I N FO R M AT I O N
None.