CPT® Code 32488

Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy)

Completion pneumonectomy is a surgical procedure that entails the removal of the remaining portion of a lung in patients who have previously undergone lung surgery, specifically where a part of the lung was excised. This procedure is typically indicated when the remaining lung tissue is no longer functional or poses a risk to the patient's health. The surgery begins with an incision made at the front of the chest, which may be extended around to the back, providing access to the thoracic cavity. During the operation, the surgeon may need to remove a rib to enhance visibility and access to the lung. Once the chest cavity is opened, the remaining lung portion is deflated, and the major blood vessels supplying the lung are carefully ligated to prevent excessive bleeding. The main bronchus, which is the airway leading to the lung, is clamped and incised to facilitate the removal of the lung tissue. After the lung is excised, the bronchus is closed off using staples or sutures to ensure that air does not escape into the pleural space. To aid in recovery and prevent complications, a temporary drainage tube may be placed in the pleural cavity to evacuate any air, fluid, or blood that may accumulate post-surgery. Finally, the chest incision is meticulously closed to promote healing.