Abstract

The golden standard for the treatment of colorectal liver metastases is surgical resection. However, less than 20% of patients can survive liver resection. Careful preparation for future liver resection, in the form of 3D modeling, segmentation, liver volumetry, and calculation of the future liver remnant (FLR), the remnant liver volume to body weight ratio (FLR/BWR ratio) significantly reduce the risk of post-hepatectomy liver failure (PHLF). This clinical case demonstrates that by following the basic principles of preoperative resection planning, careful surgical technique, using intraoperative ultrasound, and postoperative treatment, it is possible to perform large liver resections without the development of severe complications.

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