[A case of successfully repeated resections of pulmonary metastasis after hepatectomy of hepatocellular carcinoma].

A 73-year-old woman was diagnosed with solitary hepatocellular carcinoma (18 cm in diameter) in the right lobe. Right hepatic lobectomy was performed in March 2004. Solitary pulmonary metastasis in the left lung was detected by CT scan in April 2006. Thoracoscopic resection of pulmonary metastasis was performed. But in February 2007, solitary pulmonary metastasis in the right lung was detected by CT again. Second thoracoscopic pulmonary resection was performed. Fifty-one months after the initial surgery, she is alive without recurrence in the lung. In patients with pulmonary metastasis of hepatocellular carcinoma, if recurrence in the remnant liver is well controlled and pulmonary metastasis is completely resectable, repeated resections of pulmonary metastasis can be an effective treatment and improve survival.