CPT® Code 32665

Thoracoscopy, surgical; with esophagomyotomy (Heller type) is a minimally invasive surgical procedure that involves the use of a thoracoscope, which is a specialized instrument equipped with a camera and light source. This procedure is specifically designed to treat conditions affecting the esophagus, particularly those related to esophageal motility disorders. The term "esophagomyotomy" refers to the surgical incision made in the muscular layer of the esophagus to alleviate symptoms associated with conditions such as achalasia, where the esophagus has difficulty moving food into the stomach. The procedure is performed through small incisions in the chest wall, allowing for a direct view of the esophagus while minimizing trauma to surrounding tissues. The use of video-assisted thoracoscopic surgery (VATS) enhances the surgeon's ability to visualize the surgical field, leading to improved precision and potentially quicker recovery times for patients. The approach typically involves creating an artificial pneumothorax to facilitate access to the esophagus, followed by careful dissection and incision of the esophageal muscle, which is crucial for relieving the obstruction and restoring normal function.