CPT® Code 58575

Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed

The procedure described by CPT® Code 58575 refers to a laparoscopic total hysterectomy performed specifically for the resection of malignancy, which includes tumor debulking. This surgical intervention is indicated for patients diagnosed with advanced endometrial cancer or early-stage ovarian cancers. The laparoscopic approach allows for minimally invasive access to the pelvic cavity, which can lead to reduced recovery times and less postoperative pain compared to traditional open surgery. During the procedure, the surgeon utilizes a laparoscope and specialized instruments to remove the uterus, along with any affected fallopian tubes and ovaries, if necessary. An omentectomy, which involves the removal of the omentum (a fold of peritoneum extending from the stomach), is also performed to ensure that any cancerous tissue in that area is excised. The patient is positioned in dorsal lithotomy, and a series of steps are followed to ensure the safe and effective removal of the malignancy while preserving surrounding structures as much as possible. This procedure is critical in managing gynecological cancers and aims to achieve optimal outcomes for the patient.