肝转移是影响结直肠癌病人长期生存的主要原因之一，40%～50%的结直肠癌病人在疾病发展过程中会发生肝转移。到目前为止，外科手术是结直肠癌肝转移病人获得长期生存的惟一方式，但手术切除率低，术后复发率居高不下仍是困扰外科医生的难题 。近年来，随着对其生物学认识的逐步深入，外科治疗理念的不断更新以及多学科综合治疗模式的进一步完善，结直肠癌肝转移的整体疗效有了显著提高。

Surgical treatment strategies of colorectal liver metastases        CAI Jian-qiang, BI Xin-yu, LI Yuan. Department of Abdominal Surgery, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China
Corresponding author: CAI Jian-qiang, E-mail: caijianqiang188@sina.com
Abstract    About 40%-50% of colorectal cancer patients will develop hepatic metastases, which is one of the main reasons that lead to failure of long-time survival. Surgical treatment is still the only way to get long-term survival up to now. However, low rate of resection and high incidence of postoperative recurrence are still the dilemma of surgeons. With the deeper understanding of its biological characteristics, constant update of surgical theory and further cooperation of multidisciplinary treatment, there will be a significant improvement of clinical outcome for colorectal liver metastases.