CPT® Code 48545

Pancreatorrhaphy is a surgical procedure performed to repair injuries sustained by the pancreas, often as a result of traumatic incidents. This procedure involves a detailed and careful approach to ensure the integrity of the pancreatic tissue is restored. The surgery typically begins with the creation of a subcostal or midline incision in the abdomen, allowing the surgeon to gain access to the pancreas. Once the incision is made, the entire pancreas is thoroughly exposed and inspected for any lacerations or damage. The lesser sac, a space within the abdominal cavity, is mobilized and opened to provide a clearer view of the pancreas. To facilitate this, attachments to surrounding structures, such as the transverse colon and stomach, are severed, allowing for better visualization of the pancreas's body. In addition, the hepatic flexure of the colon is mobilized to enhance the view of the pancreatic head and neck. To access the tail of the pancreas, the splenic hilum is exposed, and any peritoneal attachments lateral to the spleen and colon are divided. This mobilization allows for thorough palpation and visual inspection of the posterior aspect of the pancreas. During the procedure, any bleeding from small lacerations is controlled, and larger lacerations are repaired using mattress sutures or, in some cases, staples. After the repairs are made, the operative wound is irrigated, and drains are placed to prevent fluid accumulation. Finally, the abdomen is closed around the drains, completing the procedure. This meticulous approach is essential for ensuring proper healing and function of the pancreas following injury.