Assurance de qualité pour le cancer rectal – phase 2 ...

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92 PROCARE – phase 2 KCE reports 81Quality indicator Subdiscipline(s) Source Ex/inclusion Level Final QI(s)IF a patient undergoes colorectal cancer surgery and an iatrogenicperforation occurs, THEN this should be documented in the operativereportIF a patient undergoes colorectal cancer surgery that involves thetransverse colon, THEN the omentum of the resected colon should beremovedIF a patient undergoes laparoscopic colorectal cancer surgery, THENintracorporeal ligation of the vessels should be performed(b) left-sided procedureMcGory TechnicalMcGory TechnicalMcGory TechnicalIF a patient undergoes laparoscopic colorectal cancer surgery, THEN thefollowing should be used to remove the specimen:(a) wound protector(b) specimen bag(c) either of the aboveIF a patient undergoes laparoscopic colorectal cancer surgery, THEN thefascial layer should be closed for all bladed trocar sites 10 mm or largerIF a patient undergoes colorectal cancer surgery, THEN a correctlap/instrument count should be documented or an intraoperative plain filmshould show no retained lap/instrumentsIF a patient is undergoing colorectal cancer surgery and the patient is notanemic, THEN the following should be performed preoperatively:(b) type and screen in rectal cancerIF a patient undergoes rectal cancer surgery with a low rectal–coloanalanastomosis and no defunctioning stoma, THEN the anastomosis shouldbe tested intraoperativelyIF a patient undergoes laparoscopic colon cancer surgery, THEN to becredentialed for these procedures the operating surgeon must havecompleted:(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 undergoes laparoscopic colon cancer surgery, THEN thesurgeon should complete a minimum annual volume of these cases:(b) at least 12McGory TechnicalMcGory TechnicalMcGory TechnicalMcGory TechnicalMcGory TechnicalMcGory Not rectalMcGory Not rectal
KCE Reports 81 PROCARE – phase 2 93Quality indicator Subdiscipline(s) Source Ex/inclusion Level Final QI(s)IF a patient is undergoing colon cancer surgery, THEN a history of currentfunctional status should be documented before operation including:(a) bowel functionMcGory Not rectalIF a patient is undergoing colon cancer surgery and preoperative workupsuggests metastatic disease, THEN in addition to the surgeon the patientshould be offered evaluation preoperatively by:(a) medical oncologistIF a patient undergoes colon cancer surgery, THEN the ureter(s) shouldbe identified intraoperatively including the following:(b) on side where the lesion is located during left-sided procedureIF a patient undergoes colon cancer surgery (specifically hemicolectomy)and the procedure is started laparoscopically, THEN the procedure shouldbe completed in
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KCE Reports 81B Cancer rectal - pha
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vi Cancer rectal - phase 2 KCE Repo
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2 PROCARE - phase 2 KCE reports 81A
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KCE Reports 81 PROCARE - phase 2 92
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Dépôt légal : D/2008/10.273/39
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35. Etude relative aux coûts poten
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