Surgery, Gastroenterology and Oncology

Metastectomy is the only potentially curative treatment option for patients with colorectal liver metastases. It has been shown to improve long term survival in this group of patients. However, patients with extensive colorectal liver metastases with borderline resectability often pose a therapeutic challenge to the surgeon.
There is a potential risk of liver failure from insufficient liver remnant following metastectomy. In this instance, a two stage liver resection has emerged as a viable option. We describe our technique for a completely minimally invasive approach to two stage liver resection for a patient with bi-lobar colorectal liver metastases.
The patient remains disease free and well after 1 year and 2 months.

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