Lesson 1Full History and Targeted Body Check for Suspected Colon CancerDis part focus on getting full history and targeted body check for suspected right colon cancer, stressing danger signs, other health issues, performance level, belly and rectum findings, and records 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-Section Imaging (CT Belly/Pelvis, CT Chest, MRI Reasons) and Staging ReadingDis part review best use of CT, MRI, and chest imaging for suspected right colon cancer, focusing on staging truth, finding spread, blood vessel mapping, and how scan findings guide removal and surgery 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 Check (ASA, METs, ECG, Echo, Stress Test Reasons)Dis part explain organized heart and lung risk check, including ASA class, METs, ECG, heart echo, and stress test, and how to mix guideline reasons into practical steps 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 Management and Around-Surgery Blood Thinner PlansDis part detail around-surgery handling of blood thinner and anti-clot meds, including DOACs, warfarin, and heparin bridge, balancing clot and bleed risks, and working with heart doctors for hard 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 5Food Check, Pre-Training, and Low Blood Management StepsDis part handle food screening, muscle loss, pre-training, and low blood management, including iron treatment, blood-making drugs, and blood give limits, to cut complications and support better 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 6Preoperative Tests: Full Blood Count, Basic Metabolic Panel, Clotting, Cancer Markers and When to RepeatDis part outline key preoperative lab tests for right hemicolectomy, including full blood count, basic metabolic panel, clotting profile, and cancer markers, and set 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 7Preoperative Team Coordination: Cancer, Anesthesia, Stoma Care, Old People/MedicineDis part describe team coordination before surgery, involving cancer, anesthesia, stoma care, old people care, and general medicine, to match staging, body-wide treatment, risk fixing, and after-surgery support for hard 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 Talk and Consent: Explaining Benefits, Risks, Options, and Cancer RulesDis part cover organized talk for laparoscopic right hemicolectomy, including explain diagnosis, benefits, risks, options, cancer rules, stoma chances, and record of informed consent fit to patient reading and culture.
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 Findings, Biopsy Results, and Tumor SpottingDis part explain reading of colonoscopy reports, biopsy pathology, and tumor spotting, including marking methods, match with imaging, and how scope findings affect removal size and lymph node removal planning.
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
