ABSTRACT
Daniel Jaeck, Olivier Monek, Elie Oussoultzoglou and Philippe Bachellier
At present, in the West, the main indication for hepatic resection is the treatment of colorectal liver metastases. Among these patients, those with bilobar metastatic disease represent the biggest challenge for the surgeon. In the multicentric retrospective study of the French Association of Surgery, 1 the largest series of liver resections for colorectal metastases to date, of the 1818 patients treated with a curative resection 20% of the cases were bilobar. (Figure 7.1). We shall try to answer the following questions:
(1) Is it therefore justifiable to resect bilobar colorectal liver metastases? (2) How should diagnostic procedures and the preoperative evaluation be managed?
