0FT10ZZ
Resection Liver, Right Lobe to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | F Hepatobiliary System and Pancreas |
| Operation | T Resection |
| Body Part | 1 Liver, Right Lobe |
| Approach | 0 Open |
| Device | Z No Device |
| Qualifier | Z No Qualifier |
Operation Definition
Cutting out or off, without replacement, all of a body part
Procedure Overview
Resection covers the complete removal of a hepatobiliary or pancreatic organ or anatomically distinct portion, without replacing it with a graft or device. The most familiar example is cholecystectomy, the complete removal of the gallbladder, typically performed for symptomatic gallstones, chronic inflammation, or gallbladder cancer. Other examples include total pancreatectomy and complete removal of an anatomically whole lobe of the liver when disease affects the entire segment.
These procedures are chosen when disease, such as cancer, severe infection, or irreversible organ damage, involves an entire anatomically distinct body part and leaving any of it behind would not resolve the underlying problem. Because the liver and pancreas perform essential metabolic and digestive functions, surgeons carefully weigh how much can be safely removed before turning to resection of a whole part rather than a partial excision.
Anatomy & Axis Detail
Liver, Right Lobe
The right lobe of the liver is the larger of the two anatomic lobes, supplied by the right hepatic artery and right portal vein branch and drained by the right hepatic vein, and it is the more common site of primary hepatocellular carcinoma, large metastatic deposits, and hydatid cysts because of its greater parenchymal volume. A right hepatectomy removes this entire lobe along Cantlie's line, requiring individual ligation of the right hepatic artery, right portal vein, right hepatic duct, and right hepatic vein before parenchymal transection. Because the remaining left lobe must hypertrophy to sustain synthetic and metabolic function, preoperative volumetric assessment and sometimes portal vein embolization precede the procedure. Coding as Resection reflects that no portion of right lobe tissue remains, distinguishing it from a partial right-sided excision or segmentectomy.
Approach: Open
Open approach means the surgeon cuts through skin, mucous membrane, or other tissue layers to physically expose the target site to view before performing the procedure. It gives direct visualization and hands-on access, distinguishing it from Percutaneous approaches where instruments pass through a small puncture without exposing the site. Open is typical for procedures needing wide access, such as most laparotomies.
Coding & Documentation
For Resection to apply, the documentation must show that an entire anatomically distinct body part, such as the whole gallbladder, an entire hepatic lobe, or the whole pancreas, was removed, not just a margin or lesion. When only a portion of an organ is taken, such as a wedge of liver tissue or the pancreatic tail alone, the case should instead be coded as an excision, a distinction that trips up coders regularly. Pathology and operative reports should be cross-referenced to confirm the full extent of what was removed and whether any organ tissue remained in the patient.