Radical resection of tumor; clavicle
CPT4 code
Name of the Procedure:
Radical Resection of Tumor; Clavicle
Common names: Tumor removal surgery, Clavicle tumor surgery
Technical terms: Radical resection of the clavicular tumor
Summary
In this procedure, a surgeon removes a tumor located in or around the clavicle (collarbone). Depending on the extent of the tumor, parts of the clavicle and surrounding tissues may also be removed to ensure that all cancer cells are eliminated.
Purpose
Medical Condition: This procedure addresses tumors in the clavicle, which may be malignant or benign but causing symptoms or posing health risks.
Goals: The primary goal is to completely remove the tumor and prevent its spread, thereby reducing pain, improving function, and preventing further complications.
Indications
Symptoms: Swelling in the clavicle area, persistent pain, limited shoulder movement, and noticeable lumps or masses.
Patient Criteria: Patients with biopsy-confirmed tumors in or around the clavicle that are amenable to surgical removal and have no contraindications for surgery.
Preparation
Pre-procedure Instructions: Patients may need to fast for 8-12 hours before surgery. They must adjust or discontinue certain medications as instructed by the healthcare provider.
Diagnostic Tests: Preoperative imaging tests like X-rays, CT scans, or MRIs, and biopsies are performed to evaluate the tumor's size, location, and nature.
Procedure Description
- Anesthesia: The patient is administered general anesthesia to ensure they are unconscious and pain-free.
- Incision: The surgeon makes an incision over the clavicle to access the tumor.
- Tumor Removal: The tumor is carefully excised along with a margin of healthy tissue to ensure complete removal. If the tumor has invaded the bone, part or all of the clavicle may be resected.
- Reconstruction: If necessary, reconstruction using grafts or prosthetic materials is performed to maintain structural integrity.
- Closure: The incision is closed with sutures or staples, and a dressing is applied to the wound.
Tools: Surgical scalpels, retractors, clamps, bone saw if needed, and possibly graft materials.
Anesthesia: General anesthesia is administered.
Duration
The procedure typically takes 2 to 4 hours, depending on the tumor's complexity and extent.
Setting
This surgery is performed in a hospital operating room.
Personnel
- Surgeon: Performs the procedure.
- Anesthesiologist: Administers anesthesia and monitors the patient.
- Surgical nurses: Assist the surgeon and manage the operating room.
- Radiologist/Pathologist (if needed): May be involved in image guidance and specimen examination.
Risks and Complications
Common Risks: Infection, bleeding, blood clots, and wound healing issues.
Rare Risks: Nerve damage, non-union of bone (if resected), and recurrence of the tumor.
Management: Careful surgical technique, perioperative antibiotics, and close postoperative monitoring.
Benefits
Expected Benefits: Complete tumor removal, relief from symptoms, improved shoulder function, and reduced risk of cancer spread.
Timeline: Benefits are typically realized after recovery, which may take several weeks to months.
Recovery
Post-procedure Care: Patients may need pain management, physical therapy to regain shoulder mobility, and wound care.
Recovery Time: Full recovery can take several weeks to months, depending on the extent of surgery and individual healing rates.
Restrictions: Limited activity, avoidance of heavy lifting, and follow-up appointments are necessary.
Alternatives
Other Treatment Options: Radiation therapy, chemotherapy, or less invasive surgical procedures.
Pros and Cons: Non-surgical methods may be less immediately effective but carry fewer surgical risks. Less invasive surgeries may not fully remove the tumor if it's extensive.
Patient Experience
During the Procedure: The patient will be under general anesthesia and will not be aware of the surgery.
After the Procedure: Initial discomfort and pain, managed by prescribed pain medications. Swelling and bruising around the incision site, with instructions for managing symptoms. Gradual improvement in symptoms and function with adherence to postoperative care guidelines and physical therapy.