ABSTRACT
Between 25 and 35% of colorectal cancer patients will develop hepatic metastases. 1 However, only 25% of these patients will be suitable for potentially curative hepatic resection. 2
Patients may be considered unsuitable for hepatic resection for a variety of reasons:
• The presence of extrahepatic disease. • Bilobar distribution of disease (relative). • Unilobar disease in an awkward location, e.g. hepatic vein/IVC confluence. • A large number of metastases (most centres resect a maximum of four metastases). • The remaining liver volume would be inadequate. • The patient is unfit for major surgery.
