Lesson 1Thorough Patient History and Targeted Physical Examination for Suspected Colon CancerThis part emphasises gathering a full patient history and focused physical check for suspected right colon cancer, highlighting warning signs, other health issues, fitness levels, belly and rectal exam results, and notes important for surgery planning in local contexts.
Key symptom inquiry and red-flag featuresOncologic, surgical, and family history detailsMedication, allergy, and anticoagulant reviewPerformance status and frailty assessment toolsAbdominal and digital rectal examination pointsDocumenting findings for staging and planningLesson 2Cross-Sectional Scans (CT Abdomen/Pelvis, CT Chest, MRI When Needed) and Staging AnalysisThis part looks at best use of CT, MRI, and chest scans for suspected right colon cancer, stressing accurate staging, finding spread, blood vessel mapping, and how scan results help decide if surgery is possible and plan it properly.
CT abdomen/pelvis protocol and contrast timingCT chest for metastatic and pulmonary assessmentMRI indications for liver and local stagingRadiologic TNM staging and resectability criteriaIdentifying vascular variants relevant to surgeryLesson 3Heart and Lung Risk Check (ASA Score, METs, ECG, Echo, Stress Test Needs)This part explains organised heart and lung risk checks, covering ASA class, METs, ECG, heart ultrasound, and stress tests, and how to fit guideline advice into a simple plan for laparoscopic right hemicolectomy.
Assigning ASA class and documenting comorbiditiesEstimating METs and functional capacity in clinicBaseline ECG indications and interpretation pearlsWhen to order echocardiography preoperativelyStress testing indications and test selectionIntegrating findings into a risk stratification planLesson 4Blood Clot Prevention Management and Surgery-Time Blood Thinner PlansThis part details handling of blood-thinning medicines around surgery, including new oral ones, warfarin, and heparin switches, weighing clot and bleeding dangers, and working with heart specialists for tricky stent or valve cases.
Risk stratification for thrombosis and bleedingStopping and restarting antiplatelet therapyManaging warfarin and INR reversal optionsDOAC interruption schedules and renal functionHeparin bridging indications and protocolsCoordination with cardiology and hematologyLesson 5Nutrition Check, Pre-Surgery Fitness Building, and Low Blood Count Treatment PlansThis part deals with nutrition screening, muscle wasting, pre-surgery fitness, and low blood count handling, using iron treatments, blood-making drugs, and blood transfusion limits to cut risks and aid quick recovery paths.
Nutritional screening tools and sarcopenia detectionDietitian referral and optimization strategiesPrehabilitation: exercise and respiratory trainingIdentifying and classifying preoperative anemiaOral versus IV iron and timing before surgeryTransfusion thresholds and ESA use in oncologyLesson 6Pre-Surgery Blood Tests: Full Blood Count, Kidney/Liver Function, Clotting, Cancer Markers and Repeat TimingThis part lists key pre-surgery blood tests for right hemicolectomy, like full blood count, kidney/liver panel, clotting checks, and cancer markers, and when to redo or add tests based on other illnesses, time, and changing health.
Baseline CBC interpretation and red flagsCMP, renal function, and electrolyte correctionCoagulation profile and bleeding risk factorsCEA and other tumor markers in colon cancerTiming and indications to repeat abnormal labsAdditional tests for high-risk or frail patientsLesson 7Pre-Surgery Team Coordination: Cancer Specialists, Anaesthetists, Stoma Care, Elderly/Medical ExpertsThis part describes team coordination before surgery, with cancer doctors, anaesthetists, stoma experts, elderly care, and general medicine, to match staging, body-wide treatments, risk fixes, and after-surgery help for tough patients.
Indications for tumor board case discussionOncology input on neoadjuvant or adjuvant plansAnesthesiology assessment and optimization goalsStoma therapist evaluation and site markingGeriatrics and medicine comanagement strategiesCommunication and documentation across the teamLesson 8Patient Advice and Agreement: Explaining Gains, Dangers, Options, and Cancer Care BasicsThis part covers planned advice for laparoscopic right hemicolectomy, explaining the illness, gains, dangers, options, cancer care rules, stoma chances, and recording informed agreement suited to patient understanding and local customs.
Explaining diagnosis and surgical objectivesDiscussing benefits and expected oncologic outcomesDetailing surgical and anesthesia-specific risksPresenting nonoperative and palliative alternativesDiscussing stoma risk and postoperative functionBest practices for consent documentation and witnessesLesson 9Understanding Colonoscopy Results, Tissue Sample Findings, and Tumour LocationThis part explains reading colonoscopy reports, tissue sample results, and tumour spots, including marking methods, matching with scans, and how scope findings affect cut size and lymph node removal plans.
Reading colonoscopy reports systematicallyAssessing lesion morphology and synchronous polypsBiopsy handling and key pathology elementsEndoscopic tattooing technique and pitfallsCorrelating endoscopy with cross-sectional imagingImpact on resection margins and lymph node field
