CPT® Code 32486

Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy)

Sleeve lobectomy is a surgical procedure that entails the removal of a lobe of the lung, along with a circumferential segment of the bronchus that supplies air to the affected lobe. This procedure is particularly significant in cases where tumors are located centrally within the lung, especially in the right upper lobe, and cannot be adequately addressed through a standard lobectomy. The operation involves a careful dissection and resection of both lung tissue and bronchial structures, followed by the reconnection of the remaining bronchial segments to ensure continued airflow to the lung. The surgical approach typically requires an incision made at the front of the chest, which is then extended around to the back, allowing access to the thoracic cavity. During the procedure, the lung is deflated, and major blood vessels are clamped and tied off to minimize bleeding. The affected lobe and the diseased portion of the bronchus are excised, and the remaining bronchus is meticulously reattached to the main bronchus, facilitating normal respiratory function post-surgery. This technique is essential for preserving lung function while effectively removing pathological tissue, making it a critical option in thoracic surgery.