Lesson 1Full History and Targeted Physical Check for Suspected Colon CancerThis part deals with taking a full patient history and doing a focused physical exam for suspected right colon cancer, highlighting warning signs, other health issues, fitness level, belly and rectal checks, and notes for surgery planning in local contexts.
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 Scans (CT Abdomen/Pelvis, CT Chest, MRI When Needed) and Staging ReadingThis 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 if surgery is possible and plan it properly.
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 Needed)This part explains organised heart and lung risk checking, covering ASA class, METs, ECG, heart ultrasound, and stress tests, and how to fit guideline advice 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 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, and Low Blood Count Management PlansThis part tackles nutrition screening, muscle wasting, pre-surgery fitness, and low blood count handling, including iron treatment, blood-making drugs, and blood transfusion limits, to lower risks and aid quick 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, Kidney/Liver Function, Clotting, Cancer Markers and When to RedoThis part lists key pre-surgery blood tests for right hemicolectomy, like full blood count, kidney/liver panel, clotting check, and cancer markers, and sets when to repeat or add tests based on other illnesses, 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 Specialists, Anaesthetists, Stoma Care, Elderly/Medical CareThis part describes team coordination before surgery, with cancer experts, anaesthetists, stoma care, elderly care, and general medicine, to match staging, body-wide treatment, risk fixing, 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 Advice and Agreement: Explaining Gains, Dangers, Options, and Cancer RulesThis part handles organised advice for laparoscopic right hemicolectomy, covering diagnosis explanation, gains, dangers, options, cancer rules, stoma chances, and recording informed agreement suited to patient understanding and local 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 Results, Biopsy Findings, and Tumour SpottingThis part explains reading colonoscopy reports, biopsy results, and tumour spotting, including marking methods, matching with scans, and how scope findings affect cut 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
