[Treatment of colorectal liver metastases]. / Behandlung von Lebermetastasen des kolorektalen Karzinoms.

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.