[Treatment of colorectal liver metastases]

The treatment of patients with colorectal liver metastases has been changed with the improved surgical techniques and the increasingly effective systemic therapy. It represents therefore a model for the therapy in other situations with limited metastatic disease. Because the overall survival is associated with metastasectomy, the treatment of patients with liver metastases should be discussed in a team with experienced liver surgeons. Options to increase or to achieve resectability are especially "conversion" chemotherapy, but also i. e. portal vein embolization and two step resections.