结肠癌同时性肝转移患者的综合治疗策略需通过多学科综合治疗（MDT）团队讨论制定。本例结肠癌同时性肝转移患者，在多线全身治疗均失败的情况下，通过多学科讨论，对其生物学行为进行准确判断，制定了局部治疗策略。患者术后恢复良好，局部治疗明显获益，无瘤状态长达21个月。这个病例提示我们，多学科模式的讨论对于结肠癌肝转移患者的个体化决策制定至关重要。

The comprehensive treatment strategies for patients with synchronous liver metastases from colon carcinoma should be determined by a multidisciplinary team (MDT) discussion. Here we reported a case of colon carcinoma with synchronous liver metastases failed to all the systemic treatment. Under the guidance of MDT team, a local treatment strategy to the liver was suggested. The patient underwent liver resection and yielded a good outcome, with a status of no evidence of disease (NED) for 21 months. A MDT team is essential for making individual treatment strategy for all patients with colorectal cancer liver metastases.