Synchronous colorectal liver metastases: timing of resection and patterns of referral

Fiona Hand, Stephen J. Wigmore


There remain no consensus guidelines on the optimum surgical strategy for the management of synchronous colorectal liver metastases in spite of a number of published reviews and meta-analyses (1,2). In their paper, Howard et al. describe the ‘real world’ referral patterns and resection pathways of Canadian surgeons for this challenging patient cohort (3). This is a timely and interesting area for study. Data was generated from an online survey sent out to all surgeons in Canada. Responses were received from 58 surgeons but 6 responses were inadequate for analysis leaving 52 surgeon responses included for analysis.