CPT® Code 44133

An open donor enterectomy is a surgical procedure that involves the removal of a segment of the intestine from a living donor. This procedure is specifically performed to facilitate intestinal transplantation, which is indicated for patients suffering from irreversible intestinal failure, often due to complications arising from long-term total parenteral nutrition. The term "enterectomy" refers to the surgical excision of a portion of the intestine, and in this context, it is performed with the intent of preserving the harvested organ through a process known as cold preservation. This technique is crucial as it helps maintain the viability of the intestinal segment until it can be transplanted into the recipient. The procedure requires careful dissection and handling of the intestinal tissue, ensuring that the necessary vascular structures are preserved to facilitate successful transplantation. The open approach allows for direct visualization and manipulation of the intestinal anatomy, which is essential for accurately measuring and harvesting the appropriate length of the intestine needed for the transplant recipient.