CPT® Code 32672

Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed

Surgical thoracoscopy, commonly known as video-assisted thoracoscopic surgery (VATS), is a minimally invasive surgical technique used to access the thoracic cavity. This procedure is specifically indicated for patients suffering from emphysema, a chronic lung condition characterized by the destruction of the air sacs (alveoli) in the lungs, leading to breathing difficulties. The primary goal of thoracoscopy with resection-plication for lung volume reduction surgery (LVRS) is to enhance the patient's exercise tolerance and overall quality of life by reducing the volume of the diseased lung tissue. Typically, this procedure targets the upper lobe of the lung, which is often the most affected area in emphysema patients. During the surgery, single lung ventilation is initiated on the side that is not being operated on, allowing for better visualization and access to the affected lung. The procedure involves making incisions in specific intercostal spaces to facilitate the insertion of surgical instruments and the thoracoscope, enabling the surgeon to perform the necessary resection and plication of the lung tissue. This approach not only minimizes recovery time compared to traditional open surgery but also reduces postoperative pain and complications, making it a preferred option for eligible patients.