ABSTRACT

Jonathan B. Koea Introduction Liver resection for metastatic cancer has been reported for over a century. How­

ever, it was not until 1977 when Foster and Berman published a report of liver resection for a variety of several metastatic cancers that the concept gained general acceptance. Subsequent investigators have demonstrated that hepatic resection for metastatic colorectal cancer can be routinely undertaken with a perioperative mor­ tality of less than 5%, and a 5 year disease free survival of at least 30%. This is significantly better than nonsurgical treatment with either chemotherapy or radia­ tion in terms of patient survival, treatment related complications, and mortality.