Disclosed are embodiments of a laparoscopic access port having a head (portion 450) for use generally externally of a patient and for providing a seal around a laparoscopic tool (not shown)when said tool is inserted into the head via a (bore 408); and a sleeve portion (410) connected to the head and for accommodating the tool, the sleeve (410) extending along an axis and being adapted for inserting generally into the body of a patient in the direction of the axis;said access port being adjustable in overall length X in the direction of the axis, the sleeve portion comprising a shank (411) attached or attachable to the head (450) and a flanged piece (413) moveable relative to the shank by means of a mechanism for causing the overall length X of the port to adjust, the mechanism being operable externally of the patient at or adjacent the head, for example by means of rotation of an element of a lower head part (440), or by sliding motion of the shank (411) and flanged piece (413).