Surgical strategy is the key to successful treatment of patients with colorectal liver metastases. The use of intraoperative ultrasonography has become mandatory at the beginning of the operation, as it allows better staging of the disease but also during every step of the resection, guiding the hepatectomy such that it is safer and easier. Intraoperative ultrasonography makes parenchyma-sparing resections possible, improving the likelihood of better preserved postoperative liver function, decreasing the risk of liver dysfunction, and facilitating re-resection in case of hepatic recurrences. The role of laparoscopic resection is still debated, but its potential advantages include the fact that it offers a minimally invasive approach for selected patients with limited disease. Pedicle clamping is often used during resection to decrease intraoperative blood loss; its impact on outcome in patients with colorectal metastases is discussed herein.
KeywordsLiver Resection Hepatic Vein Hepatic Resection Colorectal Liver Metastasis Laparoscopic Liver Resection
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