Resection of metastases gains more and more importance in day to day s
urgical work task. Mainly only liver- and pulmonary metastases can be
resected with a curative aim, depending on the primary tumor and the m
etastasing cascade. According to tumor surgery a RO-resection is warra
nted. Whether a multimodal approach may improve long-term results by e
liminating occult micrometastases should be answered by ongoing studie
s. Even in palliative situations complete resections of metastasis are
preferred and in selected situations a multimodal approach may be cho
sen.