Robotic-assisted video-assisted thoracic surgery decortication using the Cambridge medical robotics versius system in a chronic kidney disease patient

Empyema thoracis in patients with chronic kidney disease (CKD) presents a unique therapeutic challenge due to increased bleeding risk and impaired host immunity. This report presents a case of a 45-year-old male on hemodialysis with right-sided multiloculated empyema who underwent robotic-assisted video-assisted thoracic surgery (VATS) decortication using the Cambridge medical robotics (CMR) versius system. The procedure was successfully completed with minimal blood loss, no intraoperative complications, and favorable postoperative recovery. The patient was re-listed for renal transplant after recovery. Robotic-assisted decortication using the CMR versius platform proved to be a safe and effective modality for complex thoracic interventions in high-risk patients.