Types of CR surgery

Question 1

When is a R sided hemicolectomy indicated?

Answer 1

lesions on caecum, ascending colon and hepatic flexure

Question 2

When is an extended R sided hemicolectomy indicated?

Answer 2

central lesions, lesions on transverse colon and splenic flexure

Question 3

When is an anterior resection indicated?

Answer 3

upper rectum lesion

Question 4

When is an APER/ELAPE indicated?

Answer 4

lower rectal lesion

Question 5

When is a Hartmann’s procedure indicated?

Answer 5

L sided lesions- descending colon, sigmoid colon, rectosigmoid lesions

Question 6

How is colon cancer staged?

Answer 6

CT TAP

Question 7

How far up the bowel do you have to resect cancer?

Answer 7

Up to the top of the blood supply in order to remove all the lymph nodes

Question 8

How is rectal cancer staged?

Answer 8

MRI pelvis

Question 9

Which operation removes the pelvic floor?

Answer 9

APER/ELAPE

Question 10

4 requirements for a good anastamosis

Answer 10

good blood supply
no infection
good surgical technique/tension free
minimal risk factors

Question 11

5 risk factors for a poor anastamosis

Answer 11

DM
smoking
malnutrition
immunocompromised
steroids

Question 12

How do you calculate pack years?

Answer 12

1 pack year= 20 cigarettes a day for 1 year