Lesson 1Thorough History and Targeted Physical Examination for Suspected Colon CancerThis part emphasises gathering a full history and specific physical check for suspected right colon cancer, highlighting warning signs, other health issues, fitness level, belly and rectal observations, and records needed 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 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 guide surgery feasibility 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 Check (ASA, METs, ECG, Echo, Stress Test When Required)This part explains organised heart and lung risk check, covering ASA class, 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 Blood Thinner PlansThis part covers around-surgery handling of blood thinners and clot preventers, including new oral ones, warfarin, and heparin bridging, 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, and Low Blood Count Treatment PlansThis part deals with nutrition screening, muscle loss, pre-surgery fitness, and low blood count handling, including iron treatment, blood-making drugs, and blood transfusion limits, to cut complications and aid 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 6Pre-Surgery Blood Tests: Full Blood Count, Basic Metabolic Panel, Clotting, Cancer Markers and When to RedoThis part lists key pre-surgery blood tests for right hemicolectomy, like full blood count, basic metabolic panel, clotting profile, and cancer markers, and sets when to repeat or add tests based on other conditions, timing, 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 Care, Anaesthesia, Stoma Care, Elderly/Medical SupportThis part describes team coordination before surgery, with cancer care, anaesthesia, stoma care, elderly care, and general medicine, to match staging, body-wide treatment, risk improvement, and after-surgery support for 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 Advice and Agreement: Explaining Gains, Dangers, Options, and Cancer Care BasicsThis part covers organised advice for laparoscopic right hemicolectomy, including explaining the condition, gains, dangers, options, cancer care basics, stoma chances, and recording informed agreement suited to patient understanding and cultural 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 9Understanding Colonoscopy Results, Biopsy Findings, and Tumour LocationThis part explains reading colonoscopy reports, biopsy tissue analysis, and tumour location, including marking methods, matching with scans, 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
