Fig. 8.1 Laparoscopic colorectal surgery Fig. 8.2 Penetration rate of laparoscopic colon and rectal cancer surgery (Nationwide survey, Japan Society of Endoscopic Surgery (JSES) 2012) In this chapter the perioperative…

Fig. 5.1 Fast-track surgery pathways include various components divided into preoperative, anaesthetic, intraoperative and postoperative factors (Donohoe et al. 2011) (With permission from Elsevier Limited) 5.2 Preoperative Factors 5.2.1 Preoperative…

Fig. 2.1 Khoo Teck Puat Hospital Transdisciplinary Geriatric Surgery Team 2.2.1.1 Patient Involvement in the Team In this model, the patient is actively involved in the entire process. The patient…

Key point What to look for? Medical and surgical history General health Comorbidities like diabetes, immunosuppressive disorders, inflammatory bowel disorders Previous abdominal and anorectal surgery Neurological disease (e.g., MS, cauda…

Fig. 4.1 Definition of malnutrition Insufficient energy intake Weight loss Loss of muscle mass Loss of subcutaneous fat Localized or generalized fluid accumulation that may sometimes mask weight loss Diminished…

Fig. 9.1 Compartment approach for pelvic exenteration surgery There have been several predictive factors described that may determine R0 resections. These include for LRC, original margin status, site of pelvic…

Fig. 3.1 Holistic patient-centred care formulated by ‘T’-shaped transdisciplinary nurse and ‘U’ that is referred to as ‘You’, the geriatric surgical patient The team recognised that achieving exemplary surgical and…

Fig. 10.1 Risk stratification for CRC according to family history (Based on Cairns et al. 2010) Evaluating cancer risk within a family is a dynamic process. Individuals may move to…

Fig. 1.1 The evolution from disciplinary to transdisciplinary (Adapted from Colón et al. (2008)) The interdisciplinary model acknowledges the overlap in knowledge of the different team members and facilitates horizontal…