CPT® Code 45114

The procedure described by CPT® Code 45114 refers to a partial proctectomy performed using both abdominal and transsacral approaches. A proctectomy is a surgical operation that involves the removal of part of the rectum, which is the final section of the large intestine leading to the anus. The term "partial" indicates that only a portion of the rectum is excised rather than the entire structure. The transsacral approach, although rarely utilized, involves accessing the rectum through an incision made in the lower back, specifically at the midline, which allows for direct visualization and manipulation of the rectal area. This approach is complemented by an abdominal incision, which facilitates access to the proximal segment of the rectum and potentially the sigmoid colon. The procedure is typically indicated for conditions affecting the rectum, such as tumors or severe inflammatory diseases, where removal of the affected segment is necessary to restore health and function. The surgical technique requires careful planning and execution to ensure proper anastomosis, which is the reconnection of the remaining segments of the rectum and colon after the diseased portion has been removed.