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Aim: The most common metastasis of colorectal cancer (CRC) is the liver and approximately 25% of patients have synchronous liver metastases at the time of diagnosis. Surgical management of CRC patients with liver metastasis is still controversial. The treatment strategy for each patient should be personalized depending on the patient's performance status, comorbidities and tumor stage. The aim of this study was to determine our treatment approach for CRC patients with synchronous liver metastasis in our clinic and to compare them with the literature. Material and Methods: Between January 2016 and December 2018, eight patients with synchronous liver metastatic CRC, combined surgical procedure called co-operated colorectal cancer surgery and hepatic resection were included in the study. Results: Two patients underwent right hepatectomy and six patients underwent metastasectomy. T1 / 2 tumor was detected in one patient (12%) and T3 / 4 tumor in seven patients (88%) according to TNM stage. Four of the patients (50%) had lymph node metastasis. One patient died on the 3rd postoperative day due to MODS. Conclusion: As in the results of our study, the most important criteria in patient selection for synchronous approach in literature are; The age of the patient and the volume of hepatic resection performed were reported. As a result, in the choice of surgical treatment approach, each center should determine its protocols in a multidisciplinary way considering the patient characteristics.

Synchronous liver metastases of colorectal cancers: Our experience of combined surgical procedure