ABSTRACT

The only curative treatment for liver metastases from colorectal cancer is hepatic resection, and even if a total cure cannot be achieved, this approach can lead to long-term survival. This is confirmed by several retrospective analyses of major liver centres and multicentre evaluations, demonstrating a median survival time of 25-40 months and a 5-year survival rate of 25-50%.1-3 These convincing results can be achieved with an acceptable morbidity and lethality rate of less than 5%. For these reasons, liver resection is the optimal treatment in cases of resectable liver metastases, and should therefore be performed in all eligible patients.