Lesson 1Comprehensive History and Focused Physical Examination for Suspected Colon CancerThis lesson focuses on gathering a thorough history and targeted physical exam for suspected right colon cancer, highlighting warning symptoms, co-existing conditions, performance level, abdominal and rectal observations, and records pertinent to 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 lesson examines the best use of CT, MRI, and chest scans for suspected right colon cancer, concentrating on staging precision, spotting metastases, vascular mapping, and how scan results direct resectability 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 3Cardiopulmonary Risk Assessment (ASA, METs, ECG, Echo, Stress Testing Indications)This lesson describes systematic cardiopulmonary risk evaluation, covering ASA classification, METs, ECG, echocardiography, and stress tests, and how to apply guideline-driven criteria into a practical 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 4Antithrombotic Management and Perioperative Anticoagulation StrategiesThis lesson outlines perioperative handling of antiplatelet and anticoagulant drugs, including DOACs, warfarin, and heparin bridging, weighing clotting and bleeding risks, and working with cardiology for patients with complex stents or valves.
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, and Anaemia Management ProtocolsThis lesson tackles nutritional screening, sarcopenia, prehabilitation, and anaemia control, including iron treatment, erythropoiesis agents, and transfusion limits, to cut down complications and aid enhanced 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 Labs: CBC, CMP, Coagulation, Tumour Markers and When to RepeatThis lesson lists key preoperative blood tests for right hemicolectomy, such as CBC, CMP, coagulation panel, and tumour markers, and specifies when to redo or broaden tests based on co-morbidities, timing, and changing patient condition.
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, Anaesthesiology, Stoma Therapy, Geriatrics/MedicineThis lesson explains team coordination before surgery, involving oncology, anaesthesiology, stoma care, geriatrics, and internal medicine, to match staging, systemic treatment, risk reduction, and post-op support for complicated 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 Benefits, Risks, Alternatives, and Oncologic PrinciplesThis lesson addresses structured counselling for laparoscopic right hemicolectomy, covering diagnosis explanation, benefits, risks, options, oncologic basics, stoma chances, and recording informed consent 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 9Interpreting Colonoscopy Findings, Biopsy Results, and Tumour LocalisationThis lesson clarifies reading colonoscopy reports, biopsy pathology, and tumour location, including tattooing methods, linking with imaging, and how scope findings affect resection scope 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
