Daniel Gomez‐CarrilloCarlos Eduardo Rey ChávesMaría Valentina RomeroJaime Cruz‐RojoRoosevelt FajardoF.D. Ravelo Díaz2026-03-222026-03-22202410.1016/j.ijscr.2024.109740https://doi.org/10.1016/j.ijscr.2024.109740https://andeanlibrary.org/handle/123456789/75152The VARD procedure, a key component of the step-up approach, exhibits a remarkable safety profile, substantially reducing postoperative complications and mortality compared to open surgical counterparts. However, challenges persist in managing cases of infected Walled-Off Necrosis with deep extension, necessitating carefully considering a minimal-access approach. We report our experience using the VARD in a two-port approach.enMedicineDebridement (dental)SurgeryPort (circuit theory)NecrosisRetroperitoneal spaceGeneral surgeryarticle