CPT® Code 58548

Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed

Laparoscopic radical hysterectomy with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) is a surgical procedure that involves the removal of the uterus along with surrounding tissues and lymph nodes. This minimally invasive technique utilizes laparoscopic methods, which means that the surgery is performed through small incisions using a camera and specialized instruments. The procedure may also include the removal of the fallopian tubes and ovaries if deemed necessary. The process begins with the inflation of the abdominal cavity using carbon dioxide gas to create a working space for the surgeon. Trocars, which are hollow tubes, are inserted into the abdomen to allow access for surgical instruments. A manipulator is placed in the uterus to facilitate the surgical approach. The surgery involves careful dissection of various ligaments and tissues, including the uterosacral ligaments and the broad ligament, to access and remove lymph nodes from the pelvic and para-aortic regions. This procedure is typically indicated for conditions such as gynecological cancers, where comprehensive removal of affected tissues is essential for treatment. The laparoscopic approach offers benefits such as reduced recovery time, less postoperative pain, and minimal scarring compared to traditional open surgery.