Sandonà Daniele, Caroli Diego, Sarzo Giacomo, Mammano Enzo
Department of Surgical Oncological and Gastroenterological Sciences - DiSCOG, University of Padua, Padua, Italy.
Department of Gastroenterology AOPD, University of Padua, Padua, Italy.
Case Rep Surg. 2025 Jun 12;2025:9965465. doi: 10.1155/cris/9965465. eCollection 2025.
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. 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. 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. 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.
奇莱迪蒂氏征表现为一段肠管位于右膈与肝脏之间;当这种异常导致胃肠道症状时,就称为奇莱迪蒂氏综合征。如果保守治疗失败,通常需要进行手术干预,尤其是在病情严重或复杂的情况下。一名82岁女性,有2年右侧腹痛、便秘、不适和体重减轻的病史,在经过广泛检查以排除其他病变后,被诊断为奇莱迪蒂氏综合征。药物治疗失败后,她接受了选择性机器人手术,进行肝曲游离和右半结肠固定术。该手术使用Versius机器人系统(剑桥医疗机器人公司,CMR)进行,成功地使结肠复位并缓解了症状。奇莱迪蒂氏综合征常常诊断不足,对于药物治疗无反应的病例,手术干预可有效治疗。Versius机器人系统提供了一种高效、微创的解决方案,减少了手术创伤,促进了更快的恢复。该病例突出了机器人辅助手术在处理像奇莱迪蒂氏综合征这样的复杂胃肠道疾病中的益处。机器人手术,特别是使用Versius机器人系统,在这类复杂病例中具有显著的技术优势,因为其精确性和微创性,可改善临床结果,并缩短需要手术干预患者的恢复时间。