Resection of hepatic metastases from colorectal carcinoma

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Abstract
When liver metastases from colorectal carcinoma are detected, it is the surgeon’s responsibility to decide whether or not the patient is a candidate for resection. Although long-term survival after resection is far from optimal, the relegation of patients to nonresective treatment means denying them the only chance for cure currently available. Many studies [1–5] have used regional or systemic chemotherapy for metastatic disease to the liver, but all have failed to demonstrate cure or even significant improvement in longterm survival. When isolated disease involving the liver is documented, surgical resection has the potential of being curative, and selected symptomatic patients may also obtain maximal palliation from resection.