Conclusions  This homemade transumbilical port offers a safe, reliable, flexible, and cost-effective access for LESS procedures. This technique may be an alternative for current specialized port systems. Content Type Journal ArticleCategory TechniqueDOI 10.1007/s00464-009-0620-2Authors Huai-Ching Tai, Buddhist Tzu Chi General Hospital Division of Urology, Department of Surgery Taipei Branch Taipei TaiwanChia-Da Lin, Buddhist Tzu Chi General Hospital Division of Urology, Department of Surgery Taipei Branch Taipei TaiwanChia-Chang Wu, Taipei Medical University Shuang-Ho Hospital Department of Urology Taipei TaiwanYao-Chou Tsai, Buddhist Tzu Chi General Hospital Division of Urology, Department of Surgery Taipei Branch Taipei TaiwanStephen Shei-Dei Yang, Buddhist Tzu Chi Ge...