Abstract:

In the early 20th century, laparoscopic surgery has been rapidly developed in abdominal surgery, among which laparoscopic radical resection has become the standard surgery for treatment. During the development of colorectal cancer, nearly 50% of patients will have liver metastasis. With the development of targeted drugs and multidisciplinary discussion strategies, more and more colorectal cancer patients with liver metastasis obtain the opportunity of radical resection. In addition, the emergence of 3D laparoscopy, energy platform and various endovascular closure devices make laparoscopic resection of liver metastases possible. A number of large-scale retrospective study have also confirmed its safety. However, due to the complexity of liver anatomy, various ducts and small space for operation, this kind of surgery is more difficult than colorectal surgery. In this paper, the development of laparoscopic surgery for liver metastases in recent 20 years was reviewed.

Key words: Colorectal neoplasms, Liver metastases, Laparoscopes, Surgical procedures, operative