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Preparation

1. Adequate bowel prep - fluid restriction 48 hours prior + picolax 24 hours prior
2. DVT prophylaxis
3. IV antibiotic prophylaxis - metronidazole / cefotaxime
4. Catherise
5. NGT
6. Seen by stoma nurse / "stomatherapist" - marks stoma in 3 positions of standing, sitting and lying
7. Consent

Principle

1. Perform full laparotomy - inspect everything
2. Assess *tumour for resectability + clearance margins (2cm acceptable; 5cm desired)
3. If Metastases found, should continue surgery as best "palliative" measure - resection margins can be reduced

Complications

1. Surgery
2. Stoma
3. "General"
4. Metabolic / nutritional consequences