Assurance de qualité pour le cancer rectal – phase 2 ...
Assurance de qualité pour le cancer rectal – phase 2 ...
Assurance de qualité pour le cancer rectal – phase 2 ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
92 PROCARE <strong>–</strong> <strong>phase</strong> 2 KCE reports 81Quality indicator Subdiscipline(s) Source Ex/inclusion Level Final QI(s)IF a patient un<strong>de</strong>rgoes colo<strong>rectal</strong> <strong>cancer</strong> surgery and an iatrogenicperforation occurs, THEN this should be documented in the operativereportIF a patient un<strong>de</strong>rgoes colo<strong>rectal</strong> <strong>cancer</strong> surgery that involves thetransverse colon, THEN the omentum of the resected colon should beremovedIF a patient un<strong>de</strong>rgoes laparoscopic colo<strong>rectal</strong> <strong>cancer</strong> surgery, THENintracorporeal ligation of the vessels should be performed(b) <strong>le</strong>ft-si<strong>de</strong>d procedureMcGory TechnicalMcGory TechnicalMcGory TechnicalIF a patient un<strong>de</strong>rgoes laparoscopic colo<strong>rectal</strong> <strong>cancer</strong> surgery, THEN thefollowing should be used to remove the specimen:(a) wound protector(b) specimen bag(c) either of the aboveIF a patient un<strong>de</strong>rgoes laparoscopic colo<strong>rectal</strong> <strong>cancer</strong> surgery, THEN thefascial layer should be closed for all bla<strong>de</strong>d trocar sites 10 mm or largerIF a patient un<strong>de</strong>rgoes colo<strong>rectal</strong> <strong>cancer</strong> surgery, THEN a correctlap/instrument count should be documented or an intraoperative plain filmshould show no retained lap/instrumentsIF a patient is un<strong>de</strong>rgoing colo<strong>rectal</strong> <strong>cancer</strong> surgery and the patient is notanemic, THEN the following should be performed preoperatively:(b) type and screen in <strong>rectal</strong> <strong>cancer</strong>IF a patient un<strong>de</strong>rgoes <strong>rectal</strong> <strong>cancer</strong> surgery with a low <strong>rectal</strong><strong>–</strong>coloanalanastomosis and no <strong>de</strong>functioning stoma, THEN the anastomosis shouldbe tested intraoperativelyIF a patient un<strong>de</strong>rgoes laparoscopic colon <strong>cancer</strong> surgery, THEN to becre<strong>de</strong>ntia<strong>le</strong>d for these procedures the operating surgeon must havecomp<strong>le</strong>ted:(a) experience in 20 laparoscopic colon resections during training(b) 20 proctored laparoscopic colon resection cases(c) 20 laparoscopic colon cases for benign disease(f) a, b, or cIF a patient un<strong>de</strong>rgoes laparoscopic colon <strong>cancer</strong> surgery, THEN thesurgeon should comp<strong>le</strong>te a minimum annual volume of these cases:(b) at <strong>le</strong>ast 12McGory TechnicalMcGory TechnicalMcGory TechnicalMcGory TechnicalMcGory TechnicalMcGory Not <strong>rectal</strong>McGory Not <strong>rectal</strong>
Change language