Disclosed are devices, systems and methods for video-guided endoluminal stapling. An exemplary device includes a circular stapler that includes an anvil and a shaft, an endoscope, and one or more connectors or fasteners that hold the endoscope against the shaft of the circular stapler, wherein the anvil includes a first opening in the anvil, wherein the endoscope is positioned through the first opening, wherein the one or more connectors or fasteners allow the endoscope to move longitudinally along the shaft of the circular stapler, and wherein a section of the shaft includes a second opening that allows the endoscope to transition from an external surface of the shaft to an internal cavity of the stapler.
