To compare the volumetric increase of segments 2 and 3, segment 4, and the caudate lobe after portal vein ligation (PVL) and portal vein embolization (PVE). The small size of the remnant liver and chemotherapyinduced liver injury increase the risk of postoperative hepatic insufficiency after major hepatic resection for colorectal liver metastases. Portal vein ligation has been suggested to be less effective than embolization in inducing hypertrophy of the remnant liver. Design, Setting, and Patients: We retrospectively reviewed 48 patients with colorectal liver metastases who underwent PVL (n=17) or PVE (n=31) at the Istituto per la Ricerca e la Cura del Cancro or the Institut