Is the procedure of cryoablation for skeletal muscle tumors considered a surgical operation?
Hello Doctor, my mother recently underwent treatment for malignant bone tumors.
Our claim for surgical insurance reimbursement was denied.
Does this surgery meet the definition of a surgical procedure?
Y, 30~39 year old female. Ask Date: 2022/12/25
Dr. Chen Sirong reply Oncology
Rain, 35 years old, male.
Does this surgery meet the definition of surgical procedure? A: According to Dr.
Huang Cai-wang from Today's News, cryoablation using micro-needles involves inserting micro-needles filled with argon gas into tumor tissue, creating an ice ball at a temperature of -40 degrees Celsius around the tumor in a very short time.
The argon gas is then replaced with helium to raise the temperature, causing the tumor cells to rupture and die.
This method can precisely eliminate tumors located near the lung periphery or adjacent to the trachea and blood vessels, allowing patients to avoid the removal of healthy lung tissue or damage to surrounding structures, thereby reducing treatment risks and side effects.
As a newer local therapy, cryoablation with micro-needles is less invasive and can be repeated without the cumulative dose issues associated with traditional radiation therapy.
Dr.
Huang explains that compared to electrocautery or radiofrequency therapy, cryoablation has relatively lower complications such as pneumothorax or bleeding, and clinical statistics show a control rate of up to 90% after the procedure.
B: It doesn't seem like surgery to me.
C: The dispute regarding insurance coverage can be addressed through other channels, where a third party can determine whether the items covered by your insurance include this procedure.
Wishing you good health and a Happy New Year, Dr.
Chen Si-rong.
Reply Date: 2022/12/25
More Info
Cryoablation, particularly for musculoskeletal tumors, is a minimally invasive technique that has gained traction in recent years as an alternative to traditional surgical methods. To address your question regarding whether cryoablation qualifies as surgery, it is essential to understand the definitions and classifications of surgical procedures in the medical field.
Surgery is typically defined as a branch of medicine that involves the treatment of injuries or disorders through operative procedures. This can include incisions, excisions, and other manipulations of tissues. Traditional surgery often involves significant physical intervention, such as cutting through skin and muscle to access internal structures. In contrast, cryoablation employs extreme cold to destroy cancerous cells, which is a less invasive approach.
Cryoablation involves inserting a cryoprobe into the tumor tissue, where it delivers argon gas to create a freezing effect, leading to the destruction of the tumor cells. This technique is particularly useful for tumors that are difficult to access surgically or for patients who may not tolerate traditional surgery due to other health issues. The procedure is performed under imaging guidance, such as ultrasound or CT scans, to ensure precision.
From a medical standpoint, cryoablation is considered a form of interventional oncology, which is a subspecialty that uses minimally invasive procedures to treat cancer. While it does not fit the traditional mold of surgery, it is still a procedural intervention aimed at treating tumors. Therefore, many medical professionals and institutions classify cryoablation as a surgical procedure, albeit a minimally invasive one.
Regarding insurance coverage, the classification of cryoablation can vary depending on the insurance provider and the specific policy. Some insurers may categorize it under surgical procedures, while others may not, leading to discrepancies in coverage. If your mother’s insurance claim was denied, it may be beneficial to appeal the decision by providing documentation that supports the classification of cryoablation as a surgical intervention. This could include clinical studies, guidelines from professional organizations, or expert opinions that highlight its efficacy and role in treating musculoskeletal tumors.
In summary, while cryoablation may not align with traditional surgical definitions, it is widely recognized as a surgical intervention within the context of interventional oncology. Its minimally invasive nature and effectiveness in treating certain tumors make it a valuable option in cancer care. If there are concerns about insurance coverage, it is advisable to consult with the healthcare provider and the insurance company to clarify the classification and seek an appeal if necessary.
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