Unlisted laparoscopy procedure, spleen
CPT4 code
Name of the Procedure:
Unlisted Laparoscopy Procedure, Spleen
Summary
An unlisted laparoscopy procedure for the spleen involves minimally invasive surgery to diagnose or treat conditions affecting the spleen. Using small incisions and a camera, doctors can inspect, biopsy, or perform surgeries on the spleen without the need for large cuts.
Purpose
This procedure addresses conditions such as splenic cysts, abscesses, or trauma. The goals include diagnosing spleen conditions, reducing symptoms, and improving spleen function or removing diseased spleens.
Indications
- Abnormal imaging results (e.g., CT scan showing splenic lesions)
- Recurrent infections or abscesses in the spleen
- Trauma to the spleen causing internal bleeding
- Splenomegaly (enlarged spleen) requiring diagnosis or intervention
Preparation
- Fasting for at least 8 hours before surgery
- Stopping certain medications as instructed (e.g., blood thinners)
- Undergoing preoperative tests such as blood work, imaging studies, and physical examinations
Procedure Description
- Patient administered general anesthesia.
- Several small incisions made in the abdomen.
- A laparoscope (camera) inserted through one of the incisions.
- Additional surgical instruments inserted through other incisions.
- The spleen inspected, and necessary procedures, such as biopsy or partial/total removal, conducted.
- Instruments and laparoscope removed, and incisions closed with sutures.
Duration
Typically takes 1 to 3 hours.
Setting
Performed in a hospital or surgical center.
Personnel
- Surgeon specialized in laparoscopic procedures
- Anesthesiologist
- Surgical nurses
- Surgical technician
Risks and Complications
- Infection at the incision sites
- Internal bleeding
- Injury to nearby organs (stomach, intestines)
- Adverse reactions to anesthesia
- Blood clots
Benefits
- Reduced recovery time compared to open surgery
- Smaller scars and less post-operative pain
- Faster return to normal activities
- Enhanced diagnostic accuracy
Recovery
- Monitoring in a recovery room post-procedure
- Pain management with prescribed medications
- Instructions for wound care and activity restrictions
- Recovery time typically ranges from 2 to 4 weeks
- Follow-up appointments to monitor healing and spleen function
Alternatives
- Open splenectomy (traditional surgery with a larger incision)
- Watchful waiting with regular monitoring (for non-urgent cases)
- Non-surgical treatments depending on specific splenic condition
Patient Experience
During the procedure, patients will be under general anesthesia and will not feel anything. Post-procedure, some pain and discomfort are expected, managed with pain medications. Initial activities will be restricted, and patients may feel fatigued for several days. Gradual return to normal activities will be guided by the surgeon's instructions.