Should we do laparoscopic resection for synchronous stage IV colorectal cancer?

Colorectal cancer (CRC) is one of the most common cancers ranking third in the USA in cancer related deaths. Approximately 25–50% of patients with CRC have liver metastases upon initial presentation (1). Surgical resection provides the best chance for long-term survival for colorectal liver metastasis (CRLM) including laparoscopic and open hepatectomy.