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Related Experiment Video

Updated: Jan 6, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

"Peek port": avoiding conversion during laparoscopic colectomy-an update.

Christopher Jacobs¹, Thomas E Read²

¹Division of Gastrointestinal Surgery, University of Florida, 1600 SW Archer Rd., Gainesville, FL, 32608, USA.

Surgical Endoscopy

|October 6, 2019

Summary

This summary is machine-generated.

The "peek port" technique for laparoscopic colectomy in high-risk patients effectively assesses intra-abdominal conditions. This approach minimizes conversion to open laparotomy, benefiting patients with complex conditions.

Keywords:

Colectomy Colorectal Hand-assisted laparoscopy Laparoscopy “Peek port”

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Published on: June 16, 2023

Area of Science:

Surgical Innovation
Minimally Invasive Surgery
Gastrointestinal Surgery

Background:

Laparoscopic colectomy offers benefits but carries a risk of conversion to laparotomy, especially in patients with complex abdominal conditions.
Assessing intra-abdominal conditions pre-emptively is crucial for successful laparoscopic procedures.
The "peek port" approach is a novel strategy to evaluate operative feasibility before committing to a full laparoscopic or open procedure.

Purpose of the Study:

To evaluate the effectiveness of the "peek port" method in reducing conversion rates to open laparotomy during laparoscopic colectomy.
To determine if this approach is beneficial for patients at high risk for conversion.
To assess the impact of the "peek port" technique on patient outcomes and resource utilization.

Main Methods:

A prospective database of 664 patients undergoing laparoscopic colectomy was analyzed.
Patients at high risk for conversion were initially approached with a small "peek port" incision.
Conversion rates were compared between the "peek port" group and standard laparoscopic approach using chi-squared analysis.

Main Results:

Of 79 patients in the "peek port" group, 48% required conversion to laparotomy, while 52% proceeded to hand-assisted laparoscopy (HALS).
The overall conversion rate to laparotomy for all 626 laparoscopic colectomies was 2%.
The "peek port" approach facilitated prompt assessment, enabling laparoscopic surgery in some complex cases.

Conclusions:

The "peek port" technique is an effective strategy for assessing intra-abdominal conditions in patients undergoing laparoscopic colectomy.
This method is associated with a low overall conversion rate to laparotomy.
The "peek port" approach may reduce costs and morbidity for patients requiring laparotomy and enable minimally invasive surgery for select complex cases.