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Thoracoscopy, surgical, with wedge resection of lung, is a minimally invasive procedure that involves the removal of a wedge-shaped section of lung tissue. This technique is commonly referred to as video-assisted thoracoscopic surgery (VATS). The procedure is performed through small incisions in the chest wall, allowing for the insertion of a thoracoscope, which is a specialized camera that provides visualization of the lung and surrounding structures. The specific location of the incision and the placement of the thoracoscope are determined by the location of the lung lesion that needs to be addressed. During the procedure, the surgeon identifies the lesion under thoracoscopic guidance and utilizes an endograsper to grasp and suspend the lesion for further manipulation. An endostapler is then employed to excise the wedge of lung tissue, ensuring that the lesion is completely removed while minimizing damage to the surrounding lung parenchyma. The use of endoscissors may also assist in separating the lung tissue as needed. After the wedge resection is completed, the excised tissue is placed in an endobag for removal, and a chest tube is typically inserted to facilitate drainage and prevent complications. This procedure can be performed as a single wedge resection or multiple resections on one lung, depending on the clinical requirements and the extent of the disease being treated.
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The procedure of thoracoscopy with wedge resection of the lung is indicated for various clinical scenarios, particularly when there is a need to remove localized lung lesions. The following conditions may warrant this surgical intervention:
The procedure of thoracoscopy with wedge resection of the lung involves several key steps that are performed under general anesthesia. The following outlines the procedural steps:
Following the thoracoscopy with wedge resection of the lung, patients are typically monitored in a recovery area until they are stable. Post-procedure care may include pain management, monitoring for any signs of complications such as bleeding or infection, and ensuring proper function of the chest tube. Patients may be advised on respiratory exercises to promote lung expansion and prevent complications such as atelectasis. The duration of recovery can vary based on the extent of the resection and the patient's overall health, but many patients can expect to resume normal activities within a few weeks, pending their physician's guidance.
| Short Descr | THORACOSCOPY SURGICAL | Medium Descr | THRSC W/WEDGE RESCJ LNG 1/MLT | Long Descr | Thoracoscopy, surgical; with wedge resection of lung, single or multiple | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Discontinued Code | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 36 - Lobectomy or pneumonectomy |
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