Single-incision laparoscopic cholecystectomy

NICE interventional procedures guidance [IPG346] Published date:

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The Interventional Procedures Advisory Committee has considered this procedure and NICE has now issued a consultation document about its safety and efficacy. This has been issued for 4 weeks’ public consultation (until 5pm on Tuesday 23rd of September 2014).

If you wish to comment on the consultation document please use the link at the bottom of this page.

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Please note that NICE reserves the right to summarise and edit comments received during consultations or not to publish them at all where in the reasonable opinion of NICE, the comments are voluminous, publication would be unlawful or publication would otherwise be inappropriate.If you wish to be alerted to developments regarding this procedure, including the release of the consultation document, please use the register an interest button on this page

  • Description

    Gallstones can cause recurrent pain and other symptoms as well as cholecystitis in some patients.  An operation to remove the gallbladder may be indicated, and it is called cholecystectomy.  It is usually carried out through ‘keyhole surgery’ using several small incisions, but this procedure aims to carry out the operation through a single ‘keyhole’.

  • OPCS4.6 Code(s)

    J18.- Excision of gallbladder

    Plus

    Y75.2 Laparoscopic approach to abdominal cavity NEC

    Note: OPCS-4 code J37.2 Operative cholangiography through cystic duct or J37.3 Direct puncture operative cholangiography plus Y75.2 Laparoscopic approach to abdominal cavity NEC are also assigned if a cholangiogram is performed during the procedure.

    Note: It is not possible to capture the fact that a single umbilical skin incision has been performed using OPCS-4 codes.

    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

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