The data on the treatment of colorectal carcinoma and synchronous metastatic involvement of the liver in 41 patients are presented. After extensive resections, complications were reported in 45.5%, partial--12%. Post-operative mortality was 4.9%. Relapse-free survival in group 1 was 8.9 +/- 2.7 months, group 2-9.7 +/- 3.1 months. Hepatic tumor progression within 3.5-39 months (9.1 +/- 2.4 months) was registered in 73.2%. Average survival in patients who had single-stage surgery was 23.1 months, after metachronous operations--23.7 months. Five-year survival rate was 12.1%.