# Chilaiditi's Syndrome Treatment Using Versius Robotic Surgical System: A Case Report

## TL;DR

This case report describes the successful robotic surgical treatment of an 82-year-old woman with Chilaiditi's syndrome using the Versius system, leading to symptom resolution.

## Contribution

The paper presents a novel application of the Versius robotic system for treating Chilaiditi's syndrome with minimally invasive surgery.

## Key findings

- Robotic surgery using the Versius system successfully repositioned the colon and resolved symptoms in a patient with Chilaiditi's syndrome.
- The procedure demonstrated reduced surgical trauma and faster recovery compared to traditional methods.
- The case highlights the effectiveness of robotic-assisted surgery in managing complex gastrointestinal anomalies.

## Abstract

Introduction: Chilaiditi's sign consists of the interposition of a segment of the intestine between the right diaphragm and the liver; when this anomaly causes gastrointestinal symptoms, it is referred to as Chilaiditi's syndrome. If conservative treatment fails, surgical intervention is often necessary, especially in severe or complicated cases.

Case Presentation: An 82-year-old woman with a 2-year history of right-sided abdominal pain, constipation, malaise, and weight loss was diagnosed with Chilaiditi's syndrome following an extensive workout to exclude other pathologies. Following the failure of medical therapy, she underwent elective robotic surgery for hepatic flexure mobilization and right colopexy. The procedure was performed using the Versius robotic system (Cambridge Medical Robotics, CMR), resulting in successful repositioning of the colon and resolution of symptoms.

Discussion: Chilaiditi's syndrome is often underdiagnosed and can be effectively treated with surgical intervention in cases unresponsive to medical therapy. The Versius robotic system offers a highly effective, minimally invasive solution, reducing surgical trauma, and promoting faster recovery. This case highlights the benefits of robotic-assisted surgery in managing complex gastrointestinal conditions like Chilaiditi's syndrome.

Conclusion: Robotic surgery, particularly with the Versius robotic system, offers significant technical advantages in such complex cases due to its precision and minimally invasive nature, with improved clinical outcomes, and enhanced recovery times for patients requiring surgical intervention.