CPT® Code 43107

Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal)

The CPT® Code 43107 refers to a surgical procedure known as a total or near total esophagectomy performed without thoracotomy, specifically utilizing a transhiatal approach. This technique involves accessing the esophagus through an incision made in the upper abdomen rather than through the chest, which is referred to as thoracotomy. The primary goal of this procedure is to remove the esophagus, which may be necessary due to various conditions such as esophageal cancer, severe esophageal dysmotility, or other significant esophageal diseases. During the surgery, the stomach is mobilized and prepared to create a new passage for food intake, which is achieved through a pharyngogastrostomy or cervical esophagogastrostomy. This procedure may also include a pyloroplasty, which is a surgical modification of the pylorus to facilitate gastric drainage. The transhiatal approach is preferred in many cases to minimize complications associated with thoracic incisions, such as mediastinitis, which can arise from leaks in the esophagus. Overall, this procedure is complex and requires careful dissection and reconstruction to ensure proper healing and function post-surgery.