Excision of chest wall tumor including ribs
CPT4 code
Name of the Procedure:
Excision of Chest Wall Tumor Including Ribs
Common names: Chest Wall Tumor Resection, Thoracic Tumor Excision
Summary
This surgical procedure involves the removal of a tumor located in the chest wall, which may include the resection of affected ribs. The aim is to excise the malignant growth while preserving as much healthy tissue as possible.
Purpose
The procedure addresses cancerous growths in the chest wall. Goals include the complete removal of the tumor to halt progression, alleviate symptoms, and improve the patient's quality of life.
Indications
- Presence of a malignant or benign tumor in the chest wall.
- Tumors causing symptoms such as pain, respiratory issues, or visible swelling.
- Diagnostic imaging indicating possible malignancy.
Preparation
- Fasting from midnight before the procedure.
- Medication adjustments, particularly for blood thinners.
- Preoperative blood work and imaging studies (e.g., CT scan, MRI).
- Pre-surgical consultation to discuss the procedure and obtain consent.
Procedure Description
- The patient is administered general anesthesia.
- An incision is made over the tumor site.
- The tumor, along with some surrounding tissue and potentially affected ribs, is carefully excised.
- If necessary, reconstruction of the chest wall using synthetic mesh or bone grafts is performed.
- The incision is closed with sutures or staples.
- A chest drain may be placed to prevent fluid accumulation.
Duration
The procedure typically takes 2 to 4 hours, depending on the extent of resection and reconstruction required.
Setting
Performed in a hospital surgical suite, often as an inpatient procedure requiring a hospital stay.
Personnel
- Thoracic surgeon
- Surgical assistant
- Anesthesiologist
- Operating room nurses
- Postoperative care team
Risks and Complications
- Infection
- Bleeding
- Pneumothorax (collapsed lung)
- Pain and discomfort
- Potential need for further surgery
- Complications from anesthesia
Benefits
- Removal of cancerous or problematic tissue.
- Relief from symptoms caused by the tumor.
- Potentially life-saving in cases of malignant growths.
- Improvement in respiratory function and overall quality of life.
Recovery
- Postoperative monitoring in the hospital.
- Pain management with prescribed medications.
- Instructions for wound care and activity restrictions.
- Avoidance of heavy lifting and strenuous exercises for several weeks.
- Follow-up appointments for wound assessment and to monitor for recurrence.
Alternatives
- Chemotherapy or radiotherapy, which may be used alone or in conjunction with surgery.
- Minimally invasive procedures, if applicable, which have a quicker recovery but may not be suitable for larger tumors.
- Palliative care for non-resectable tumors to manage symptoms without surgery.
Patient Experience
During the procedure, the patient will be under general anesthesia and won’t feel anything. Postoperatively, patients may experience some pain and discomfort managed by medication. Over time, pain should diminish, and gradual recovery can be expected with adherence to medical advice.