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Individualized assessment of patients with liver metastases, especially from colorectal cancer, with the aim of the correct sequence of treatments and the selection of patients who may benefit from surgical treatment.
When to seek surgical evaluation
Liver metastases in staging control
Metastatic lesions in a patient with a history of malignancy
Need for a second opinion for resectability
Combination of chemotherapy, surgery or other local treatments
What happens at the first appointment
Review of CT/MRI and oncological treatment history
Assessment of hepatic reserves and distribution of lesions
Discussion with oncologist/radiologist/hepatosurgical team where necessary
Plan: surgery, preoperative treatment, follow up or combination treatment
Goal: not to make a hasty decision. Surgery is recommended when the expected benefit outweighs the risks and when alternatives have been evaluated.
Frequently Asked Questions
Are all liver metastases inoperable?
No. Excision depends on the number, location, biology of the disease, remaining functional liver, and the patient’s overall condition.
Should the bowel or liver be operated on first?
There is no one-size-fits-all answer. The order is decided on an individual basis, depending on symptoms, disease burden, and oncological plan.
