Resection of colorectal liver metastases (CRLM) is potentially curative therapy when used as part of multimodality therapy. For more than 2 decades, we have known that metastasectomy for CRLM provides a survival advantage. Although the value of resection has never been established by a randomized clinical trial, the weight of the evidence from large case series and population studies involving thousands of patients is overwhelming in favor of resection. Furthermore, the benefit is large; the 5-year overall survival of patients with resection of CRLM is greater than 50%,1 compared with approximately 14% in patients treated with chemotherapy.2
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Wei AC, Jarnagin WR. Questioning Why More Patients With Colorectal Liver Metastases Are Not Referred for Metastasectomy. JAMA Surg. Published online July 15, 2020. doi:10.1001/jamasurg.2020.1460
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