CPT® Code 38101

The procedure described by CPT® Code 38101 refers to a partial splenectomy, which is a surgical operation involving the removal of a portion of the spleen. The spleen is an organ located in the upper left part of the abdomen, playing a crucial role in the immune system and blood filtration. In this procedure, the surgeon makes an incision in the abdomen to access the spleen. Once exposed, the spleen is carefully mobilized and moved medially to allow for better visibility and access to the ligaments that attach it to surrounding structures, specifically the splenorenal, splenocolic, and gastrosplenic ligaments. If the spleen is significantly enlarged or has ruptured, the surgeon first locates and ligates the splenic artery to minimize the risk of hemorrhage and to reduce the size of the spleen before proceeding with the removal of the affected portion. In cases where the spleen is not severely compromised, the ligaments are ligated and divided, followed by the ligation of the splenic artery. The procedure emphasizes careful handling of the splenic artery and vein, which are also ligated and divided to facilitate the removal of the spleen or its damaged portion. In the case of a partial splenectomy, the focus is on excising only the diseased or damaged segment of the spleen while preserving the healthy tissue. After the excision, the remaining portion of the spleen is repaired using sutures or staples, and if necessary, the splenic artery may be ligated to control any bleeding that may occur. The remaining spleen segment may also be wrapped in omentum or synthetic mesh to provide additional support. A drain may be inserted to prevent fluid accumulation, and the abdomen is subsequently closed around the drain. This procedure is particularly relevant for patients with localized splenic disease, allowing for the preservation of splenic function while addressing the pathological condition.