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CT scan of the abdomen before drainage. This scan shows a pancreatitis and necrosis with air configurations in peripancreatic fluid collections.
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Six days later, the patient was re-hospitalised due to progressive pancreatitis and necrosis on imaging with air configurations in peripancreatic fluid collections (see Fig. 1) suggesting infected peripancreatic collections.
CT scan of the abdomen after drainage. This scan shows still the presence of a pancreatitis and ongoing necrotic tissue.
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Due to minimal clinical improvement, peripancreatic fluid collections were drained by the radiologist with two percutaneous catheters (see Fig. 2).
Application of the SILS port in the left lateral side of the patient.
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Once the trajectory was incised with conventional diathermy, we applied a SILS port (Gelpoint path Applied Medical) with Airseal  (Conmed) insufflator (see Fig. 3).
Drain-guided access to the necrotic tissue.
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All visual necrosis was debrided with use of laparoscopic instruments (see Fig. 4, Fig. 5 and the video (in Supplementary material)).