A connected sum decomposition of a closed $n$-manifold $M^n$: $M^n = M_1^n \# M_2^n$, is to view $M^n$ as two closed $M_1^n$ and $M_2^n$, joined by a neck $I\times S^{n-1}$.
Similarly, a $k$-connected sum decomposition of a closed $n$-manifold $M^n$: $M^n = M_1^n \#_k M_2^n$, is to view $M^n$ as two closed $M_1^n$ and $M_2^n$, joined by $k$ necks, each has a form $I\times S^{n-1}$.
I like to know the reference is this "$k$-connected sum decomposition". Is there a classification of $n$-manifolds via the $k$-connected sum decomposition? Is there a classification of 3-manifolds via the $k$-connected sum decomposition?