CPT® Code 38572

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple

The procedure described by CPT® Code 38572 involves a laparoscopic surgical technique for performing a bilateral total pelvic lymphadenectomy, which is the surgical removal of lymph nodes located in the pelvic region, along with the sampling (biopsy) of para-aortic lymph nodes. This procedure is typically indicated for patients with suspected malignancies in the pelvic area, as it allows for the assessment of lymphatic spread of cancer. The laparoscopic approach is minimally invasive, utilizing small incisions to reduce recovery time and postoperative pain compared to traditional open surgery. During the procedure, a small incision is made just below the umbilicus to insert a trocar, which facilitates the establishment of pneumoperitoneum, allowing the surgeon to visualize the abdominal cavity. A laparoscope is then introduced through this port, and additional incisions are made for the insertion of surgical instruments. The surgeon carefully inspects the peritoneal cavity and explores the abdomen and pelvis for any signs of metastatic disease. The procedure emphasizes the preservation of critical anatomical structures, such as the genitofemoral nerve and psoas muscle, while excising fatty tissue and lymph nodes from the iliac regions. The excised lymph nodes are collected in an endobag for removal, and biopsies of the para-aortic lymph nodes are performed to assess for malignancy. This comprehensive approach aids in staging cancer and determining appropriate treatment options.