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

Abstract in brief

• The study evaluates a "peek port" technique for patients at high risk of needing open surgery during laparoscopic colectomy, aiming to reduce conversion rates to laparotomy.
• Patients first undergo a small midline incision with laparoscopic tools available but unused; based on intraoperative assessment, they either proceed with hand-assisted laparoscopy or convert to open surgery if conditions are unfavorable.
• The overall conversion rate from laparoscopy to laparotomy was 15.6%, and the peek port approach helps quickly assess intraperitoneal conditions, potentially lowering costs, reducing complications, and enabling more complex cases to be managed laparoscopically.]