CPT® Code 43122

Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty

The procedure described by CPT® Code 43122 involves a partial esophagectomy, which is the surgical removal of a portion of the esophagus. This specific procedure can be performed using either a thoracoabdominal or an abdominal approach, and it may include a proximal gastrectomy, which is the removal of part of the stomach, as well as a pyloroplasty, a surgical procedure to widen the opening of the pylorus to facilitate gastric drainage. The primary goal of this surgery is to treat conditions affecting the esophagus, such as malignancies or other serious esophageal disorders. The operation entails careful dissection and mobilization of the esophagus and stomach, ensuring that critical structures such as nerves and blood vessels are preserved. The procedure culminates in the creation of an esophagogastrostomy, which is the surgical connection between the remaining esophagus and the stomach, allowing for the continuity of the digestive tract post-surgery. This complex surgical intervention requires a thorough understanding of the anatomy and careful execution to minimize complications and ensure optimal patient outcomes.