Is laparoscopic simultaneous resection for colorectal cancer and synchronous liver metastases safe and useful?

We have read the article by Moris et al., titled “Laparoscopic synchronous resection of colorectal cancer and liver metastases: A systematic review” published in the Journal of Surgical Oncology (1). We had considerable interest in their analyses on the outcomes of laparoscopic simultaneous resection (LSR) for colorectal cancer (CRC) and colorectal cancer liver metastases (CRCLM). Their study concluded that LSR is a safe and feasible approach compared to open simultaneous resection (OSR), for selected patients with synchronous CRCLM. On the other hand, they also stated that the number of patients included in the study was very small, and therefore the conclusion was considerably restricted.