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Updated: Jun 11, 2026
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Application of Laparoscopic Hepatectomy Combined with Intraoperative Microwave Ablation in Colorectal Cancer Liver Metastasis
Published on: March 3, 2023
Minimally Invasive/Robotic Surgery for Colorectal Liver Metastasis
Adrian Diaz1, Aram Eduardo Rojas2, Ana Luiza Gleisner3
1Department of Surgery, University of Chicago, Chicago, IL, USA.
Surgical Oncology Clinics of North America
|June 9, 2026
Summary
Minimally invasive surgery offers a potentially curative option for colorectal liver metastases (CRLM). This review covers modern laparoscopic and robotic techniques, patient selection, and integrated therapies for CRLM management.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Colorectal liver metastases (CRLM) are prevalent and curable with complete surgical resection.
- Minimally invasive surgical approaches are increasingly utilized for CRLM treatment.
Purpose of the Study:
- To review contemporary minimally invasive (laparoscopic and robotic) strategies for CRLM.
- To emphasize multidisciplinary decision-making, patient selection, and peri-operative planning for CRLM resection.
Main Methods:
- Review of current literature on minimally invasive CRLM resection.
- Discussion of imaging and functional assessments.
- Outline of operative approaches including parenchymal-sparing resections, segmentectomies, and two-stage hepatectomy.
Main Results:
- Minimally invasive techniques are feasible for various CRLM resections.
- Multidisciplinary input is crucial for optimal patient selection and planning.
- Integrated therapies like ablation and HAI-pump chemotherapy enhance liver-directed treatment.
Conclusions:
- Minimally invasive surgery represents a viable and effective strategy for CRLM.
- Comprehensive peri-operative planning and patient selection are paramount for successful outcomes.
- Ablation and HAI-pump chemotherapy serve as valuable adjuncts in CRLM management.
