Abstract
We report five-year posthepatectomy survival in early hepatic metastasis from carcinoma of the papilla of Vater. A 66-year-old woman who had pancreatoduodenectomy for carcinoma of the papilla of Vater with multiple lymph node involvements underwent extended left hepatic lobectomy five months after the first operation for a solitary metastatic liver tumor. She then underwent biweekly adjuvant chemotherapy with gemcitabine for 15 months and has remained well without recurrence in the five years since the second operation. Few reports have been made of long-term survivors after hepatectomy for metastatic liver tumors in biliary tract cancer. The woman we treated with hepatectomy and adjuvant chemotherapy has thus survived despite multiple lymph node metastasis and early hepatic recurrence.
