tailieunhanh - Improved Outcomes in Colon and Rectal Surgery

A 65-year-old hypertensive male smoker requires a low anterior resection for treatment of an upper rectal cancer. A CT scan of the chest, abdomen, and pelvis does not show any distant metastatic spread and his carcinoembryonic antigen is normal. What additional preoperative laboratory studies and adjunctive testing are indicated? case management A complete history and physical examination is perhaps the single most important step for guiding preoperative preparation. If a cardiac review of systems indicates no symptoms of ischemia at a high workload, and an electrocardiogram is normal then no further cardiac testing is necessary | informa healthcare Edited by Charles B Whitlow David E Beck David A Margolin Terry C Hicks Alan E Timmcke Improved Outcomes in Colon and Rectal Surgery Edited by Charles B Whitlow MD Program Director Colon and Rectal Surgery Ochsner Clinic Foundation New Orleans Louisiana USA David E Beck MD Chairman Colon and Rectal Surgery Ochsner Clinic Foundation New Orleans Louisiana USA David A Margolin MD Research Director Colon and Rectal Surgery Ochsner Clinic Foundation New Orleans Louisiana USA Terry C Hicks MD Associate Chairman Colon and Rectal Surgery Ochsner Clinic Foundation New Orleans Louisiana USA Alan E Timmcke MD Staff Surgeon Colon and Rectal Surgery Ochsner Clinic Foundation New Orleans Louisiana USA informa healthcare 2010 Informa UK First published in 2010 by Informa Healthcare Telephone House 69-77 Paul Street London EC2A 4LQ. Informa Healthcare is a trading division of Informa UK Ltd. Registered Office 37 41 Mortimer Street London W1T 3JH. Registered in England and Wales number 1072954. All rights reserved. No part of this publication may be reproduced stored in a retrieval system or transmitted in any form or by any means electronic mechanical photocopying recording or otherwise without the prior permission of the publisher or in accordance with the provisions of the Copyright Designs and Patents Act 1988 or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency 90 Tottenham Court Road London W1P 0LP. Although every effort has been made to ensure that all owners of copyright material have been acknowledged in this publication we would be glad to acknowledge in subsequent reprints or editions any omissions brought to our attention. A CIP record for this book is available from the British Library. Library of Congress Cataloging-in-Publication Data Data available on application ISBN-13 9781920071528 Orders Informa Healthcare Sheepen Place Colchester Essex CO3 3LP UK Telephone 44 0 20 7017 5540 Email .