In simple words: This procedure involves removing the entire left lobe of the liver from a living donor for a liver transplant. The removed part of the liver is preserved until it's transplanted into the recipient.

This code describes a surgical procedure where a living donor's entire left liver lobe (segments II, III, and IV) is resected for transplantation. The procedure includes cold preservation of the graft to maintain its viability until it is transplanted into the recipient.

Example 1: A healthy adult is donating part of their liver to a family member in need of a liver transplant. The surgeon performs a total left lobectomy (segments II, III, and IV) and preserves the removed portion for transplantation., A living donor undergoes a left hepatectomy for transplant. During the donor hepatectomy, it is discovered that the recipient will require an entire left lobe. The surgeon proceeds with total left lobectomy (segments II, III, and IV) and ensures cold preservation for the recipient., An individual wishes to be an altruistic living donor. They consent to a left hepatectomy, and surgical planning designates a total left lobectomy. The surgeon carries out the procedure, resecting segments II, III, and IV, following the protocol for cold preservation until transplantation.

The operative report should clearly document the segments of the liver resected (II, III, and IV), the method of cold preservation, and any complications encountered during the procedure. Preoperative imaging and laboratory results should also be documented to support the medical necessity of the procedure. Informed consent from the living donor is crucial.