Colorectal surgery for benign and malignant disease is often undertaken by general surgeons, especially in rural areas. Colorecal cancer (CRC) is usually diagnosed via colonoscopy and staging requires CT for all cancers and pelvic MRI for rectal cancer. Surgical resection of the cancer with the lymphatic and vascular pedicle is the only curative approach, and laparoscopic surgery allows for faster recovery after surgery. Adjuvant chemotherapy should be offered to all suitable patients, and should commence within 6 to 8 weeks after surgery. As over 10% of patients who undergo a curative operation will develop recurrent disease, close follow-up for at least 5 years is recommended.
KeywordsColorectal cancer Adjuvant chemotherapy Neoadjuvant radio-chemotherapy Hereditary colorectal cancer Staging Treatment Nonsurgical management Surgical management Follow-up
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