Surgical management of Chilaiditi syndrome with da Vinci® robotic system

•Elderly woman suffers from abdominal pain from Chilaiditi’s syndrome.•Robotic-assisted surgery affords great visualization and instrument dexterity.•She undergoes first known robotic-assisted colopexy for this condition.•Post-operative course is uneventful and her recovery is swift.•Robotic-assisted surgery is a useful technique for intra-corporeal suturing. Chilaiditi’s syndrome is a combination of radiographic finding of hepato-diaphragmatic interposition of intestine with gastrointestinal symptoms which sometimes requires operative intervention. This is, to our knowledge, the first report of robotic-assisted technique for surgical management of this rare condition. We report a case of 85-year-old woman with persistent pain and diarrhea from Chilaiditi’s syndrome who underwent robotic-assisted colopexy with good outcome. Robotic-assisted surgery offers great visualization and high degree of instrument maneuverability, thus shortening operative time and provides patient with other benefits of minimally-invasive surgery such as minimal pain and excellent cosmesis. Robotic-assisted surgical technique allowed quick recovery and return to baseline function for a frustrated elderly patient.