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Chilaiditi's Syndrome Treatment Using Versius Robotic Surgical System: A Case Report.
Daniele Sandonà1, Diego Caroli2, Giacomo Sarzo3
1Department of Surgical Oncological and Gastroenterological Sciences - DiSCOG, University of Padua, Padua, Italy.
Case Reports in Surgery
|June 23, 2025
Summary
Chilaiditi's syndrome, a rare condition involving bowel interposition, can be effectively treated with robotic surgery when conservative methods fail. This minimally invasive approach offers improved patient recovery and outcomes.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Minimally Invasive Surgery
Background:
- Chilaiditi's sign is the interposition of the intestine between the diaphragm and liver.
- Chilaiditi's syndrome presents with gastrointestinal symptoms and may require intervention.
- Surgical treatment is indicated for severe or refractory cases.
Observation:
- An 82-year-old female presented with chronic right-sided abdominal pain, constipation, malaise, and weight loss.
- Diagnosis of Chilaiditi's syndrome was confirmed after excluding other pathologies.
- Conservative medical therapy proved ineffective for symptom management.
Findings:
- Elective robotic surgery using the Versius system was performed for hepatic flexure mobilization and right colopexy.
- The procedure successfully repositioned the colon.
- The patient experienced complete resolution of her symptoms post-surgery.
Implications:
- Robotic surgery provides a precise and minimally invasive option for Chilaiditi's syndrome.
- The Versius system facilitates reduced surgical trauma and faster patient recovery.
- This case underscores the benefits of robotic assistance in managing complex gastrointestinal conditions.
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