1. |
Benign/premalignant lesions (polyps) |
Defer surgery |
|
Defer surgery |
2 |
Early stage colon cancer |
Defer surgery |
|
Defer Surgery |
3 |
Locally advanced colon and Metastatic colon Cancer |
Neoadjuvant therapy |
Neoadjuvant therapy/ Oral capacetabine only |
Defer surgery until progression or emergency indications |
4 |
Rectal cancer (all stages) |
Neoadjuvant CT+ RT (Prefer short course radiotherapy over long course radiotherapy) |
Neoadjuvant therapy/ Oral capacetabine |
Defer surgery until progression or emergency indications |
Delay surgery for 12–16 weeks post neoadjuvant therapy |
Post neoadjuvant treatment after 8–10 weeks- oral capecitabine |
5 |
Emergency indications (Obstruction/perforation/bleeding) |
Emergency surgery (Diversion stoma or resection of primary depending on intraoperative findings and hospital resources) |
|
Emergency surgery (Diversion stoma or resection of primary depending on intraoperative findings) |