{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T15:35:26Z","timestamp":1793374526300,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T00:00:00Z","timestamp":1708300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The Kono\u2010S anastomosis was introduced as a possible solution to the high surgical recurrence rates in Crohn's disease. However, this technique is known to be challenging, which is why it was originally performed in an extracorporeal setting. The aim of this case series was to assess safety, in terms of intra\u2010\/postoperative complications, and feasibility, in terms of successful performance of anastomosis, of a robot\u2010assisted intracorporeal Kono\u2010S anastomosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This is a prospective single\u2010centre consecutive case series. Patients were considered eligible if they were diagnosed with refractory Crohn's disease with significant bowel stenosis of the terminal ileum. All patients underwent robot\u2010assisted intracorporeal Kono\u2010S anastomosis. Perioperative care was provided according to the Enhanced Recovery After Surgery\u00ae protocol. Follow\u2010up for postoperative complications was 30\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty patients were included, of whom 11 (55%) were men. The median age was 30\u2009years [interquartile range (IQR) 22\u201351\u2009years] and the median BMI was 25 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (IQR 19\u201328\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). Intracorporeal Kono\u2010S anastomosis was successfully performed in all cases. The median operating time was 155\u2009min (IQR 144\u2013176\u2009min) and the median length of stay was 3\u2009days (IQR 1\u20135\u2009days). No conversions or 30\u2010day mortality were observed. One patient experienced anastomotic leakage, which was treated with radiologically guided drainage. A total of three patients experienced postoperative complications in the first 30\u2009days.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Performance of intracorporeal robot\u2010assisted Kono\u2010S anastomosis seems safe and feasible in this case series for Crohn's disease. Since this is a first case series, further research is required to confirm results in a larger population\u2010based cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.16914","type":"journal-article","created":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T03:55:51Z","timestamp":1708314951000},"page":"702-708","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A new surgical technique: robotic intracorporeal Kono\u2010S anastomosis in Crohn's \u2013 a safety and feasibility case series on short\u2010term outcomes"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-4890","authenticated-orcid":false,"given":"Bo P.","family":"Smalbroek","sequence":"first","affiliation":[{"name":"Department of Surgery St. Antonius Hospital  Nieuwegein the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Floris B.","family":"Poelmann","sequence":"additional","affiliation":[{"name":"Department of Surgery St. Antonius Hospital  Nieuwegein the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke B.","family":"Smits","sequence":"additional","affiliation":[{"name":"Department of Surgery St. Antonius Hospital  Nieuwegein the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,19]]},"reference":[{"issue":"12","key":"e_1_2_13_2_1","first-page":"1365","article-title":"Diagnosis and management of Crohn's disease","volume":"84","author":"Wilkins T","year":"2011","journal-title":"Am Fam Physician."},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2013.07.041"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-020-02183-z"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(20)30117-5"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-021-03857-2"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i1.78"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-006-0068-9"},{"key":"e_1_2_13_9_1","first-page":"111","article-title":"Crohn's disease and postoperative recurrence. The role of anastomotic configurations and the Kono\u2010s anastomosis","volume":"90","author":"Fornaro R","year":"2019","journal-title":"Ann Ital Chir."},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15013"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e318208b90f"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010020\u201002130\u20103"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0206277"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-4982-y"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.21037\/jgo.2019.12.02"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02660768"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-004-9004-9"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-020-01125-z"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15637"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15398"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-020-01131-1"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2021.05.010"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco\u2010jcc\/jjw169"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-018-4844-y"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-015-3061-3"},{"key":"e_1_2_13_26_1","volume-title":"Mathematical handbook for scientists and engineers: definitions, theorems, and formulas for reference and review","author":"Korn GA","year":"2000"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003821"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-021-08927-8"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304\u2010020\u201000918\u2010z"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.16914","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:54:45Z","timestamp":1750121685000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.16914"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,19]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/codi.16914"],"URL":"https:\/\/doi.org\/10.1111\/codi.16914","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,19]]},"assertion":[{"value":"2022-09-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}