INVASIVE THERAPY OF METASTATIC COLORECTAL-CANCER TO THE LIVER

This article provides a historical and recent review of the evolution of hepatic resection for colorectal metastases since World War Il. In addition, it analyzes the factors that influence survival preoperative ly, intraoperatively, and postoperatively. It explains the anatomy and surgical technique required for hepatic resection. It discusses adjuv ant therapy, intraoperative ultrasonography, regional infusion therapy , and cryotherapy. Finally, it proposes an algorithm for the evaluatio n and treatment of hepatic metastasis from colorectal carcinoma.