Aralin 1Komprehensibong kasaysayan at nakatuon na pisikal na pagsusuri para sa hinalang colon cancerAng seksyong ito ay nakatuon sa pagkuha ng komprehensibong kasaysayan at nakatuon na pisikal na pagsusuri para sa hinalang right colon cancer, na nagbibigay-diin sa mga red-flag symptoms, comorbidities, performance status, abdominal at rectal findings, at dokumentasyon na may kaugnayan sa operasyon.
Key symptom inquiry at red-flag featuresOnkologiko, surgical, at family history detailsMedication, allergy, at anticoagulant reviewPerformance status at frailty assessment toolsAbdominal at digital rectal examination pointsDocumenting findings para sa staging at planningAralin 2Cross-sectional imaging (CT abdomen/pelvis, CT chest, MRI indications) at staging interpretationAng seksyong ito ay sumusuri ng optimal na paggamit ng CT, MRI, at chest imaging para sa hinalang right colon cancer, na nakatuon sa staging accuracy, detection ng metastases, vascular mapping, at kung paano gabayan ng radiologic findings ang resectability at operative planning.
CT abdomen/pelvis protocol at contrast timingCT chest para sa metastatic at pulmonary assessmentMRI indications para sa liver at local stagingRadiologic TNM staging at resectability criteriaIdentifying vascular variants na may kaugnayan sa surgeryAralin 3Cardiopulmonary risk assessment (ASA, METs, ECG, echo, stress testing indications)Ang seksyong ito ay nagpapaliwanag ng structured cardiopulmonary risk assessment, kabilang ang ASA class, METs, ECG, echocardiography, at stress testing, at kung paano i-integrate ang guideline-based indications sa practical algorithm para sa laparoskopikong right hemicolectomy.
Assigning ASA class at documenting comorbiditiesEstimating METs at functional capacity sa clinicBaseline ECG indications at interpretation pearlsWhen to order echocardiography preoperativelyStress testing indications at test selectionIntegrating findings sa risk stratification planAralin 4Antithrombotic management at perioperative anticoagulation strategiesAng seksyong ito ay nagdedetalye ng perioperative management ng antiplatelet at anticoagulant agents, kabilang ang DOACs, warfarin, at heparin bridging, na nagbabalanse ng thrombotic at bleeding risks, at nagkoordinat sa cardiology para sa complex stent o valve patients.
Risk stratification para sa thrombosis at bleedingStopping at restarting antiplatelet therapyManaging warfarin at INR reversal optionsDOAC interruption schedules at renal functionHeparin bridging indications at protocolsCoordination sa cardiology at hematologyAralin 5Nutritional assessment, prehabilitation, at anemia management protocolsAng seksyong ito ay tumutugon sa nutritional screening, sarcopenia, prehabilitation, at anemia management, kabilang ang iron therapy, erythropoiesis-stimulating agents, at transfusion thresholds, upang mabawasan ang mga komplikasyon at suportahan ang enhanced recovery pathways.
Nutritional screening tools at sarcopenia detectionDietitian referral at optimization strategiesPrehabilitation: exercise at respiratory trainingIdentifying at classifying preoperative anemiaOral versus IV iron at timing before surgeryTransfusion thresholds at ESA use sa oncologyAralin 6Preoperative labs: CBC, CMP, coagulation, tumor markers at when to repeatAng seksyong ito ay naglilista ng essential preoperative laboratory tests para sa right hemicolectomy, kabilang ang CBC, CMP, coagulation profile, at tumor markers, at tinutukoy kung kailan ulitin o palawakin ang testing batay sa comorbidities, timing, at evolving clinical status.
Baseline CBC interpretation at red flagsCMP, renal function, at electrolyte correctionCoagulation profile at bleeding risk factorsCEA at other tumor markers sa colon cancerTiming at indications to repeat abnormal labsAdditional tests para sa high-risk o frail patientsAralin 7Preoperative multidisciplinary coordination: oncology, anesthesiology, stoma therapy, geriatrics/medicineAng seksyong ito ay naglalarawan ng multidisciplinary coordination bago ang surgery, na kinabibilangan ng oncology, anesthesiology, stoma therapy, geriatrics, at internal medicine, upang iayon ang staging, systemic therapy, risk optimization, at postoperative support para sa complex patients.
Indications para sa tumor board case discussionOncology input sa neoadjuvant o adjuvant plansAnesthesiology assessment at optimization goalsStoma therapist evaluation at site markingGeriatrics at medicine comanagement strategiesCommunication at documentation across the teamAralin 8Patient counseling at consent: explaining benefits, risks, alternatives, at oncologic principlesAng seksyong ito ay tumutugon sa structured counseling para sa laparoskopikong right hemicolectomy, kabilang ang paliwanag ng diagnosis, benefits, risks, alternatives, oncologic principles, stoma possibilities, at documentation ng informed consent na inangkop sa patient literacy at cultural context.
Explaining diagnosis at surgical objectivesDiscussing benefits at expected oncologic outcomesDetailing surgical at anesthesia-specific risksPresenting nonoperative at palliative alternativesDiscussing stoma risk at postoperative functionBest practices para sa consent documentation at witnessesAralin 9Interpreting colonoscopy findings, biopsy results, at tumor localizationAng seksyong ito ay nagpapaliwanag ng interpretation ng colonoscopy reports, biopsy pathology, at tumor localization, kabilang ang tattooing techniques, correlation sa imaging, at kung paano impluwensya ng endoscopic findings ang resection extent at lymphadenectomy planning.
Reading colonoscopy reports systematicallyAssessing lesion morphology at synchronous polypsBiopsy handling at key pathology elementsEndoscopic tattooing technique at pitfallsCorrelating endoscopy sa cross-sectional imagingImpact sa resection margins at lymph node field
