Based on an analysis of a group of patients with resection of the liver on account of secondaries of colorectal carcinoma the authors evaluate their therapeutic method. Between 1978 and June 1999 at the Surgical Clinic of the Third Medical Faculty Charles University, Prague resections of the liver were made in 222 patients, incl. 57 on account of metastases of colorectal carcinoma. The liver was resected on account of metastases by right-sided lobectomy twice, left-sided lobectomy 1×, right-sided lateral bisegmentectomy 5×, left-sided lateral bisegmentec- tomy 9×, segmentectomy 16× and in 24 patients a wedge-shaped resection was made (incl. 10 with multiple metastases several times). In another eight patients where a resection could not be performed either alcoholiza- tion of the tumour was used or adjuvant chemotherapy was administered. Postoperative complications were recorded in 10 %, the 30-day mortality rate was 2 %. The mean survival period was 23 months. Resection of the liver on account of a secondary of colorectal carcinoma is a safe and effective therapeutic method.

        Key words: liver metastases of colorectal carcinoma – preoperative diagnosis – treatment