Preparation
- Adequate bowel prep - fluid restriction 48 hours prior + picolax 24 hours prior
- DVT prophylaxis
- IV antibiotic prophylaxis - metronidazole / cefotaxime
- Catherise
- NGT
- Seen by stoma nurse / "stomatherapist" - marks stoma in 3 positions of standing, sitting and lying
- Consent
Principle
- Perform full laparotomy - inspect everything
- Assess *tumour for resectability + clearance margins (2cm acceptable; 5cm desired)
- If Metastases found, should continue surgery as best "palliative" measure - resection margins can be reduced
Complications
- Surgery
- Stoma
- "General"
- Metabolic / nutritional consequences