Laparoscopic liver resections in two stages for the treatment of colorectal metastases: a review

Gabriele Spoletini, Salvatore Barbaro, Martina Fontana, Mohammed Abu Hilal


Recent progresses in minimally invasive surgery have made complex hepatobiliary operations possible with a laparoscopic approach. Classic two-stage hepatectomy (TSH) and more recently associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) are getting reported more often as feasibility, safety and oncological efficiency have been demonstrated in selected cases. Herein we review the available literature in the field of laparoscopic liver resections in two stages with a focus on the management of colorectal liver metastases (CRLMs).