CPT® Code 32657

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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.