Transdisciplinary Perioperative
Care in Colorectal Surgery
Kok-Yang Tan
Editor
Transdisciplinary
Perioperative Care
in Colorectal Surgery
An Integrative Approach
Editor
Kok-Yang Tan
Department of Surgery
Khoo Teck Puat Hospital
Singapore
ISBN 978-3-662-44019-3
ISBN 978-3-662-44020-9
DOI 10.1007/978-3-662-44020-9
Springer Heidelberg New York Dordrecht London
(eBook)
Library of Congress Control Number: 2014951514
© Springer-Verlag Berlin Heidelberg 2015
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of
the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation,
broadcasting, reproduction on microfilms or in any other physical way, and transmission or information
storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology
now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection
with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and
executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this
publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's
location, in its current version, and permission for use must always be obtained from Springer.
Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations
are liable to prosecution under the respective Copyright Law.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
does not imply, even in the absence of a specific statement, that such names are exempt from the relevant
protective laws and regulations and therefore free for general use.
While the advice and information in this book are believed to be true and accurate at the date of
publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for
any errors or omissions that may be made. The publisher makes no warranty, express or implied, with
respect to the material contained herein.
Printed on acid-free paper
Springer is part of Springer Science+Business Media (www.springer.com)
Preface
The field of colorectal surgery has undergone tremendous developments in recent
decades. Not only have there been exciting developments in surgical techniques
rendering surgery less invasive, but there are also new perspectives and insights into
improving perioperative management, and new outcome measures have been
defined. At the same time, more complex patients are challenging the limits of surgical technique and perioperative care. This immense potential for excellent outcomes in colorectal surgery, however, needs to be reconciled with the need for
coordinated multifaceted care, yet recognizing that resources are limited.
There is, thus, a pressing need for us to streamline our processes and heighten
our clinical productivity in colorectal surgery. To facilitate the delivery of topquality seamless surgical care to our patients, there has to be constant improvement
and minimizing of wastages. The different components of health care have to be
integrated in a transdisciplinary fashion. There needs to be excellent communication and collaboration with constant attention to detail and precision. This should be
done in an environment of constant learning, research, and innovation.
This book discusses in depth the integration of care in colorectal surgery in a
transdisciplinary fashion. After the provision of pertinent background information,
the complexities of current management in colorectal surgery are discussed, followed by a description of transdisciplinary care. Subsequent chapters focus on a
range of issues associated with the surgical and perioperative care of colorectal
surgery, with an emphasis on how the multiple facets of care can be integrated
through a transdisciplinary approach. Each chapter provides helpful take-home
messages in bullet point form, and numerous informative figures and tables are also
included. The authors are surgeons, physicians, anesthetists, oncologists, and nursing and allied health professionals with extensive experience in the field.
Singapore
Kok-Yang Tan
v
Contents
1
2
Current Challenges of Surgical Care
and the Transdisciplinary Model . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Junice Wong and Kok-Yang Tan
1
Integrative Transdisciplinary Care of Elderly
Surgical Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Kok-Yang Tan
13
3
Transdisciplinary Nursing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phyllis Xiu-Zhuang Tan, Marc W.J. Ong, and Kok-Yang Tan
29
4
Transdisciplinary Management of Perioperative Nutrition. . . . . . .
Yee-Lee Cheah, George Chee-Hong Toh, Jian-Wei Heng,
and Eric Wei-Long Wee
41
5
Enhanced Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Edward Ratnasingham Shanthakumar and Geraldine Pei-Chin Cheong
77
6
The Role of a Pharmacist in a Transdisciplinary
Geriatric Surgery Team. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Doreen Su-Yin Tan and Adeline Hsiao-Huey Wee
7
Prehabilitation and Rehabilitation in Colorectal Surgery . . . . . . . .
Sharon Cheng-Kuan Lim, Melissa Zhi-Yan Heng,
and Gregory Heng
8
Integrative Approach to Laparoscopic
Surgery for Colorectal Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fumio Konishi, Takayoshi Yoshida, Yusuke Komekami,
and Chunyong Lee
9
10
Team-Based Integrative Care for Recurrent and Locally
Advanced Rectal Cancer Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . .
Min-Hoe Chew
Multimodal Approach to Familial Colorectal Cancer . . . . . . . . . . .
Sarah Jane Walton and Sue Clark
93
103
119
131
139
vii
viii
Contents
11
Transdisciplinary Fecal Incontinence Management. . . . . . . . . . . . .
Surendra Kumar Mantoo and Paul Antoine Lehur
157
12
Integrating Science and Technology to Proctology . . . . . . . . . . . . . .
Frederick H. Koh and Ker-Kan Tan
173
13
Transdisciplinary Management in Geriatric Oncology . . . . . . . . . .
Sung W. Sun, Koshy Alexander, and Beatriz Korc-Grodzicki
189
14
Metastatic Colon and Rectal Cancer: Role of Multidisciplinary
Team-Based Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dedrick Kok-Hong Chan, Tian-Zhi Lim, and Ker-Kan Tan
199
15
Transdisciplinary Stoma Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yu-Jing Ong, Choo-Eng Ong, Lay-Choo Chee,
and Gregory K.E. Heng
227
16
Healing and Psychosocial Issues Surrounding Surgery . . . . . . . . . .
Mary Rockwood Lane and Michael Samuels
247
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
259