近年来，以腹腔镜、机器人、射频消融为代表的微创治疗方法在结直肠癌肝转移的治疗方面作用日益突出。包括腹腔镜超声在内的腹腔镜探查和分期有助于做出正确的手术决策。手术切除依然是结直肠癌肝转移的首选治疗方案，射频消融适用于手术无法切除、不能耐受手术切除的病人，或直径<3 cm的单发肝转移灶。位于肝脏Ⅱ、Ⅲ、Ⅳ、Ⅴ、Ⅵ段的单发转移灶是腹腔镜手术切除的最佳适应证。腹腔镜下可以完成小范围肝切除联合结直肠原发灶一期切除。大范围肝切除不建议联合原发灶同期切除，可以选择分期切除。腹腔镜有助于减少分期肝切除的并发症。

Minimally invasive treatment of colorectal liver metastases        JI Wen-bin, TONG Jun-xiang. Department of Hepatobiliary Surgery, PLA General Hospital, Beijing1000853, China
Corresponding anthor: JI Wen-bin, E-mail: jiwenbin1999@126.com
Abstract    Laparoscopy, robotics and radiofrequency are playing more important roles in the treatment of colorectal metastases. Laparoscopic exploration and staging are useful in surgical decision making. Surgical resection is the preferred treatment, while radiofrequency ablation is suitable for unresectable lesions, patients unable to tolerate resection and single lesion less than 3 cm. Metastases located in segment II, III, IV, V, VI are favorable candidates for laparoscopic resection. Minor resection combined with primary lesion resection can be performed under laparoscope. Major resection is not recommended to be combined with primary lesion resection, while staged hepatectomy is a favored option. Laparoscopy can reduce the complications of staged hepatectomy.