Lesson 1Detailed history and targeted physical examination for suspected colon cancerThis part stresses taking a full history and focused physical check for suspected right colon cancer, highlighting warning symptoms, other illnesses, fitness level, belly and rectal checks, and notes key for surgery planning.
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 imaging (CT abdomen/pelvis, CT chest, MRI indications) and staging interpretationThis part goes over best use of CT, MRI, and chest scans for suspected right colon cancer, focusing on staging precision, spotting spread, vessel mapping, and how scan results guide if surgery is possible and planning.
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 evaluation (ASA, METs, ECG, echo, stress testing indications)This part explains organised heart and lung risk checks, covering ASA grade, METs, ECG, heart ultrasound, and stress tests, and how to fit guideline-based needs 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 around-surgery anticoagulation plansThis part details handling of blood thinners and clot preventers during surgery time, including new oral ones, warfarin, and heparin switch, balancing clot and bleed risks, 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 build-up, and anaemia control methodsThis part covers nutrition screening, muscle loss check, pre-surgery fitness, and anaemia handling, including iron treatment, blood-making boosters, and blood top-up levels, to lower issues and aid fast 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: CBC, CMP, clotting, tumour markers and when to redoThis part lists key pre-surgery lab tests for right hemicolectomy, like full blood count, kidney/liver function, clotting check, and tumour markers, and sets when to repeat or add tests based on other issues, 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 team, anaesthesia, stoma care, elderly care/internal medicineThis part describes team coordination before operation, with cancer doctors, anaesthesia team, stoma nurses, elderly care, and general medicine, to match staging, body-wide treatment, risk fixes, and after-surgery support for tough cases.
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 counselling and consent: explaining gains, dangers, options, and cancer treatment basicsThis part covers planned counselling for laparoscopic right hemicolectomy, including explaining diagnosis, upsides, risks, other choices, cancer basics, stoma chances, and noting informed consent suited to patient's understanding and background.
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 9Reading colonoscopy results, biopsy reports, and tumour spot findingThis part explains reading scope reports, biopsy tissue checks, and tumour location, including marking methods, matching with scans, and how scope findings shape resection 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
