Some concerns with surgical treatment of secondary liver cancer        JIANG Hong-chi. Center of Hepatic-splenic Surgery of Heilongjiang Province, Digestive Disease Hospital of 1st Hospital, Harbin Medical University, Harbin 150001，China
Abstract    Metastatic liver cancer has not yet been considered as an hopeless one at the last stage of cancer now. Some of them have potential possibility to undergo hepatic resection and get ideal postoperative outcomes and even five years survival. For the sake of long term survival, multidisciplinary treatment should be carried out. However hepatic resection is hopefully first therapy choice. As indication for liver resection and the number of the patients undergoing liver resection for metastatic liver cancer successfully and fantastically expand, objective measures to assess the risk of preoperative morbidity and mortality are needed in order to make surgical procedure dramatically in effectiveness and safety because postoperative morbidity can lead to prolonged hospital stays, increased need for resource expenditure, great medical costs, move over possibly even worse long-term survival.