title: Minimally Invasive Liver Surgery for Hepatic Colorectal Metastases.
abstract: Minimally invasive surgery has been cautiously introduced in surgical oncology over the last two decades due to a concern of compromised oncological outcomes. Recently, it has been adopted in liver surgery for colorectal metastases. Colorectal cancer is a major cause of cancer-related death in the USA. In addition, liver metastasis is the most common site of distant disease and its resection improves survival. While open resection was the standard of care, laparoscopic liver surgery has become the standard of care for minor liver resections. Laparoscopic liver surgery provides equivalent oncological outcomes with better perioperative results compared to open liver surgery. Robotic liver surgery has been introduced as it is believed to overcome some of the limitations of laparoscopy. Finally, laparoscopic radio-frequency ablation and microwave coagulation can be used as adjuncts in minimally invasive surgery to complement or replace surgical resection when not possible.
authors: Division of Surgical Oncology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-8548, USA.
authors: Ibrahim
authors: I
authors: Nassour
authors: Division of Surgical Oncology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-8548, USA ; Veterans Affairs North Texas Health Care System, Dallas, TX, USA.
authors: Patricio M
authors: PM
authors: Polanco
keywords: Colorectal cancer; Colorectal cancer liver metastasis; Laparoscopic liver surgery; Laparoscopic microwave ablation; Laparoscopic radio-frequency ablation; Minimally invasive liver surgery; Robotic liver surgery