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Key concepts covered include:
By the end of this module, you should be able to:
- Anatomy – Gain an understanding of the relevant surgical anatomy of the colon which includes: the gross anatomy of the colon (from ileocaecal valve to rectum), associated vascular and lymphatic distribution, and important nearby structures (e.g. ureters and spleen)
- Physiology – Understand how the large bowel works. Appreciate the function of colonocytes (e.g. fluid balance) and luminal facultative bacteria.
- Histopathology – Describe the layers of the bowel wall from mucosa to mesentery to better understand Dukes’ classification
- Risk Factors – Understand the difference between modifiable and non-modifiable risk factors for colorectal cancer.
- Genetics – Gain an appreciation of the mode of inheritance, pathophysiology, and clinical features of the main identifiable colorectal cancer syndromes.
- Recognize presenting features of colon cancer, and how they relate to their tumor site.
- Appreciate the common investigations used for the diagnosis of colon cancer.
- Appreciate how colon cancer is staged.
- Recognize presenting features and investigation findings of colon cancer presenting as an emergency.
- Understand the rationale behind screening for colon cancer and how this is implemented.
- Have an awareness of the prevalence of the metastatic disease.
- Describe the investigations for detecting colorectal metastases.
- Highlight the role of multidisciplinary teams in the management of colorectal liver metastases.
- List therapeutic strategies for colorectal metastases, including:
- Operative resection
- Adjuvant and neoadjuvant therapy
- Interventional radiology
- Palliative intervention
- Understand the principles of pre-operative preparation for surgery.
- Be able to explain the operative choices for elective resection of colonic cancer
- Illustrate the advantages and disadvantages of laparoscopic surgery.
- Be aware of the advantages of an enhanced recovery program.
- Demonstrate an understanding of the surgical options for patients presenting as an emergency.
- Understand the pathophysiology of the adenoma-carcinoma sequence and its relevance to colon cancer
- Describe the prognosis of colon cancer
- Define the classification and etiology of colon polyps
- Describe the treatment of large polyps and the rationale for surveillance options
What you'll learn
This module on Anatomy, Physiology, Histopathology, Genetics, and Risk Factors is part of the e-learning course in surgery for colon cancer.
Curriculum
Last Updated 07/2021
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