Liver Metastases — Surgical Treatment

Liver metastases are now detected at earlier stages because of the improvement in imaging techniques and the closer follow-up of cancer patients. The right lobe is metastasized to more frequently than the left, mainly due to the preference of tumour emboli circulating through the right portal vein as a feature of the portal stream. Liver metastases may also arise from draining lymphnodes through venolymphatics communications or the thoracic duct [1]. Lymphatic metastases may arise from these portal blood born liver metastases, usually pointing to a very poor prognosis.