Parenchyma Sparing Liver Resection [PSLR] as a Viable Option for Multifocal Colorectal Liver Metastases – a Case Report and Review of Literature

Abstract

Colorectal liver metastases [CRLM] is the usual natural course of disease in about one third to half of the colorectal cancer patients. The management of CRLM has come across various changes and modifications in the last two decades. Surgical resection has always been the best treatment option providing a good survival benefit. However, this is challenged by the need to preserve adequate liver remnant, preventing post- hepatectomy liver failure, oncological clearance and leaving a good quality remnant to favour post operative liver hypertrophy. Here we present a case of CRLM in a 63-year-old gentleman, that was multifocal involving both the lobes of liver and how parenchyma sparing liver resection using a conglomeration of multiple non-anatomical resections proved to be an effective option under these challenging circumstances.