Ultrasound-guided percutaneous alcohol injection of liver metastases o
r hepatocellular carcinoma represents a well-established alternative t
o surgery when surgical resection is contraindicated. The aim of this
report is to describe the technique of echolaparoscopic-guided alcohol
injection of liver metastases in a patient undergoing palliative trea
tment for adenocarcinoma of the cardia. This procedure provides a more
accurate staging of the disease and a safe approach to liver metastas
es with difficult anatomical location in patients unsuitable for surgi
cal resection..