Modern Technical Approaches in Hepatic Surgery for Colorectal Metastases

The liver is the most common site of metastases from colorectal cancer and can present as synchronous or metachronous lesions. Successful, margin-negative resection of all liver metastases is associated with significant long-term survival, but was traditionally possible in only a minority of patients. Due to advances in multimodality systemic therapy, improved understanding of tumor biology, and new advances in technical and procedural strategies, a greater number of patients are eligible for resection and potential cure. The purpose of this report is to review the technical advances in liver resection for patients with colorectal liver metastases.