IPG287

Laparoscopic cystectomy (IPG287)

  • Interventional procedures IPG287
  • Issued: February 2009
    • Laparoscopic cystectomy

      The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic cystectomy.

      It replaces the previous guidance on laparoscopic cystectomy (Interventional Procedures Guidance no. 26, December 2003).

      • Description

        This procedure is used to treat

        • Invasive bladder carcinoma
        • Ongoing incontinence due to paraplegia, where catheterisation results in infection and ongoing leakage
        • Refractory complications in a defunctionalized bladder, where urinary diversion is already established

        Laparoscopic cystectomy involves removing the bladder using small cuts (also known as 'keyhole surgery'). In women, the bladder is removed through the wall of the vagina. In men, the bladder is removed with the prostate gland, through a small cut in the wall of the abdomen. The tubes that carry urine from the kidneys to the bladder (the ureters) may then be connected to a bag worn outside the body, or parts of the bowel can be used to make an artificial bladder which is drained by a connection to the abdomen wall or to the tube that carries urine out of the body (the urethra).

        It replaces the previous guidance on laparoscopic cystectomy (Interventional Procedures Guidance no. 26).

      • OPCS4.6 Code(s)

        In OPCS-4 category M34.- Total excision of bladder is used to classify a range of excisions of the bladder: the code selected will be dependent upon what is documented in the patient’s clinical record.

        M34.1 Cystoprostatectomy

        M34.2 Cystourethrectomy

        M34.3 Cystectomy NEC

        M34.4 Simple cystectomy

        M34.8 Other specified total excision of bladder

        M34.9 Unspecified total excision of bladder

         

        The codes above would then be supplemented with an additional code to denote the laparoscopic approach. There are a range of codes within Y75.- Minimal access to abdominal cavity that can be used:

        Y75.1 Laparoscopic assisted approach to abdominal cavity

        Y75.2 Laparoscopic approach to abdominal cavity NEC

        Y75.3 Robotic minimal access approach to abdominal cavity

        Y75.4 Hand assisted minimal access approach to abdominal cavity

        Y75.5 Laparoscopic ultrasonic approach to abdominal cavity

        Y75.8 Other specified minimal access to abdominal cavity

        Y75.9 Unspecified minimal access abdominal cavity

         

        Note: If concurrent construction of ileal conduit is carried out, a further additional code is required.

         

        The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding

      • Other information

      This page was last updated: 06 April 2011

    • Guidance formats

      Query

      Information for the public Laparoscopic cystectomy

      Information for the public

Implementation tools and resources

  • None available

Patient

The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.

Quick Reference Guide

The quick reference guide presents recommendations for health professionals

NICE Guidance

The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.

Full Guidance

The published full clinical guidance for specialists with background, evidence, recommendations and methods used.

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.