{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:24:46Z","timestamp":1786123486219,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":218,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>A 63\u2010year\u2010old man received a robotic left lateral sectionectomy for a 2\u2009cm solitary segment (seg) 2\/3 hepatocellular carcinoma (HCC). Pathology revealed clear margins without vascular invasion. Three years later patient received transarterial chemo\u2010embolization (TACE) for suspected intrahepatic recurrence. However, follow\u2010up computed tomography (CT) revealed solitary peritoneal metastasis which increased to 8\u2009cm at splenic hilum despite targeted therapy and immunotherapy was given, thus a robotic excision of the peritoneal metastasis with splenectomy was performed. CT at 3 months after surgery revealed solely new intrahepatic recurrences at segs 6 and 7. A total of four TACE were given subsequently. Laparoscopic seg 6\/7 wedge liver resection was performed for residual disease. Two further small recurrences occurred at seg 7 at 2 years after surgery; stereotactic body radiotherapy (SBRT) was given. Ultimately, the patient was disease\u2010free and enjoyed good quality of life for more than 10 years since the initial operation despite episodes of extrahepatic and intrahepatic recurrences. Thus, a multidisciplinary approach for HCC management is important to optimize treatment outcomes. Long\u2010term cure is possible with multimodality treatment for recurrent HCC, and the use of minimally invasive surgery can enhance patient\u2019s quality of life.<\/jats:p>","DOI":"10.1155\/cris\/2481885","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:14:55Z","timestamp":1786115695000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful Long\u2010Term Survival With Various Modalities of Treatments Combining Minimally Invasive Surgery for Intrahepatic and Extrahepatic Recurrence of Hepatocellular Carcinoma: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0637-0291","authenticated-orcid":false,"given":"Kit-Fai","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen Lam","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leung","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheuk-Man","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charing C. 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