Lesson 1Comprehensive History an Focused Physical Exam fi Suspected Colon CancerDis section zero in pon gettin a full history an targeted physical exam fi suspected right colon cancer, highlightin red-flag symptoms, comorbidities, performance status, abdominal an rectal findins, an documentation weh matter fi operative plannin.
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) an Staging InterpretationDis section review di best use a CT, MRI, an chest imaging fi suspected right colon cancer, focusin pon accurate stagin, detectin metastases, vascular mappin, an how radiologic findins guide resectability an operative plannin.
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 3Cardiopulmonary Risk Assessment (ASA, METs, ECG, Echo, Stress Testing Indications)Dis section explain structured cardiopulmonary risk assessment, includin ASA class, METs, ECG, echocardiography, an stress testin, an how fi mix guideline-based indications inna a practical algorithm fi 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 4Antithrombotic Management an Perioperative Anticoagulation StrategiesDis section detail perioperative management a antiplatelet an anticoagulant agents, includin DOACs, warfarin, an heparin bridgin, balancin thrombotic an bleedin risks, an coordinatin wid cardiology fi complex stent or valve patients.
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 5Nutritional Assessment, Prehabilitation, an Anemia Management ProtocolsDis section tackle nutritional screenin, sarcopenia, prehabilitation, an anemia management, includin iron therapy, erythropoiesis-stimulatin agents, an transfusion thresholds, fi reduce complications an support enhanced recovery pathways.
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 6Preoperative Labs: CBC, CMP, Coagulation, Tumor Markers an When fi RepeatDis section outline essential preoperative lab tests fi right hemicolectomy, includin CBC, CMP, coagulation profile, an tumor markers, an define when fi repeat or expand testin base pon comorbidities, timin, an changin clinical status.
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 7Preoperative Multidisciplinary Coordination: Oncology, Anesthesiology, Stoma Therapy, Geriatrics/MedicineDis section describe multidisciplinary coordination before surgery, involvin oncology, anesthesiology, stoma therapy, geriatrics, an internal medicine, fi align stagin, systemic therapy, risk optimization, an postoperative support fi complex 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 Counseling an Consent: Explainin Benefits, Risks, Alternatives, an Oncologic PrinciplesDis section cover structured counselin fi laparoscopic right hemicolectomy, includin explanation a diagnosis, benefits, risks, alternatives, oncologic principles, stoma possibilities, an documentation a informed consent tailor fi patient literacy an cultural context.
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 9Interpretin Colonoscopy Findins, Biopsy Results, an Tumor LocalizationDis section explain interpretation a colonoscopy reports, biopsy pathology, an tumor localization, includin tattooin techniques, correlation wid imagins, an how endoscopic findins influence resection extent an lymphadenectomy plannin.
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
