[Verse 1] Before the blade, we build the body up Prehabilitation, fill the nutritional cup Arginine and omega threes, immunonutrition primed ERAS protocols mapped out, nothing left behind Carbohydrate loading, shorten that fasted state Two hours for clear fluids, never make them wait Frailty scores calculated, gait speed measured slow The fragile ones need more runway before they go [Chorus] NCCN, ESMO, Japanese guidelines read in full ACG for bleeding ulcers, SAGES makes the pull WSES for perforation, ASMBS bariatric code Know the evidence, defend your deviations on that road Node count adequacy, margins clean and clear Leak rates, failure to rescue — the metrics that we fear Read the landmark trial, know the update from last year Perioperative precision — that's the science we hold dear [Verse 2] VTE prophylaxis, don't you stop at discharge Cancer patients need extended coverage, think large Twenty-eight days minimum, low molecular weight Clot formation in the silent hours won't negotiate Risk stratification, Caprini score in hand Epidural or systemic, analgesia well-planned Nasogastric tubes pulled early, mobilize day one Multimodal analgesia till the opioid burden's done [Chorus] NCCN, ESMO, Japanese guidelines read in full ACG for bleeding ulcers, SAGES makes the pull WSES for perforation, ASMBS bariatric code Know the evidence, defend your deviations on that road Node count adequacy, margins clean and clear Leak rates, failure to rescue — the metrics that we fear Read the landmark trial, know the update from last year Perioperative precision — that's the science we hold dear [Bridge] Tumor board convenes, the voices multiply Oncology and surgery read the CT side by side Palliative care enters early, not at the final breath Goals of care articulated long before the threat What does this patient value, what does function mean The advanced disease conversation — hardest one to scene Document the wishes, code status on the chart Multidisciplinary presence is the discipline's art [Verse 3] Journal club, you're presenting, pick your landmark well FLOT versus ECF — let the survival curves tell Hazard ratios matter, confidence intervals too One guideline update current, last two years reviewed Fifteen lymph nodes minimum, D2 dissection counts R-zero resection — that's the margin that amounts Present it with precision, someone will push back hard Defend your interpretation, every deviation scarred [Outro] So read the guidelines fully, not the abstract alone ESMO, NCCN — make the evidence your own Quality metrics anchor every operative choice Perioperative care demands a rigorous, steady voice
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