A Novel, Small-Incision, Gasless Videoscope-Assisted Necrosectomy for Infected Walled-Off Necrosis: A Single-Center Experience.

When endoscopic drainage is challenging for infected walled-off necrosis with solid-predominant debris, gasless videoscope-assisted necrosectomy (VANE) offers a complementary surgical step-up option. With accompanying video, Sasanuma and colleagues demonstrate how its wide-bore corridor enables effective, single-session bulk removal of extensive solid debris while preserving vital abdominal vessels through a small incision.